| Pequea Valley Community Medicine | |
|
836 Houston Run Dr Suite 201 Gap PA 17527-9496 | |
| (717) 442-9505 | |
| (717) 442-9531 |
| Full Name | Pequea Valley Community Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 836 Houston Run Dr, Gap, Pennsylvania |
| Authorized Official Name and Position | Jessica R Lacorte (ADMINISTRATOR) |
| Authorized Official Contact | 7174429505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pequea Valley Community Medicine 836 Houston Run Dr Suite 201 Gap PA 17527-9496 Ph: (717) 442-9505 | Pequea Valley Community Medicine 836 Houston Run Dr Suite 201 Gap PA 17527-9496 Ph: (717) 442-9505 |
| NPI Number | 1336486356 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336486356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Penn Medicine Lghp Family Medicine County Line Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5360 Lincoln Highway East, Store #15, Village At Gap, Gap, PA 17527 Phone: 717-442-8111 Fax: 717-442-8981 |