Full Name | |
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Speciality | Family Medicine |
Location | 146 E Main St, Leola, 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 |
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1030 New Holland Ave Bldg 12a Suite 200 Lancaster PA 17601-5690 Ph: (717) 544-5028 | 146 E Main St Leola PA 17540-1964 Ph: (717) 656-2141 |
NPI Number | 1235628660 |
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Provider Enumeration Date | 05/01/2018 |
Last Update Date | 11/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235628660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Leola Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Holly Dr, Leola, PA 17540 Phone: 717-656-0032 Fax: 717-656-3019 | |