| Penn Medicine Lghp Geriatrics | |
|
212 Willow Valley Lakes Dr Willow Street PA 17584-9668 | |
| (717) 464-9173 | |
| (717) 464-0823 |
| Full Name | Penn Medicine Lghp Geriatrics |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 212 Willow Valley Lakes Dr, Willow Street, Pennsylvania |
| Authorized Official Name and Position | Denise A Kennedy (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Geriatrics 212 Willow Valley Lakes Dr Willow Street PA 17584-9668 Ph: (717) 464-9173 | Penn Medicine Lghp Geriatrics 212 Willow Valley Lakes Dr Willow Street PA 17584-9668 Ph: (717) 464-9173 |
| NPI Number | 1619023124 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619023124 | NPI | - | NPPES |
| 000000136758 | Other | PA | UNISON |
| 20054139 | Other | PA | AMERIHEALTH MERCY |
| 001399238 | Other | PA | HIGHMARK BLUE SHIELD |
| S1P6 | Other | PA | GEISINGER |
| 2087959000 | Other | PA | AMERIHEALTH 65 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (Pennsylvania) | Primary |
Penn Medicine Lghp Family Medicine Willow Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Willow Valley Lakes Dr, Suite 1900, Willow Street, PA 17584 Phone: 717-517-5350 Fax: 717-517-5351 | |
Lancaster Family Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2850 Willow Street Pike N, Suite A, Willow Street, PA 17584 Phone: 717-464-9430 Fax: 717-464-1680 |