Full Name | |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 51 Peters Rd, Lititz, Pennsylvania |
Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
Authorized Official Contact | 7175445010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
51 Peters Rd Lititz PA 17543-7685 Ph: (717) 627-8225 | 51 Peters Rd Lititz PA 17543-7685 Ph: (717) 627-8225 |
NPI Number | 1548744063 |
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Provider Enumeration Date | 09/20/2018 |
Last Update Date | 11/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548744063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Pennsylvania Institute Of Endocrinology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1575 Highlands Dr, Suite 206, Lititz, PA 17543 Phone: 717-568-8886 Fax: 717-627-2727 | |