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2320 Rothsville Rd Suite 200 Lititz PA 17543-8215 | |
(717) 721-4800 | |
(717) 626-1613 |
Full Name | |
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Speciality | Family Medicine |
Location | 2320 Rothsville Rd, Lititz, Pennsylvania |
Authorized Official Name and Position | Christina Moon (SUPERVISOR-VERIFICATION SERVICES) |
Authorized Official Contact | 7178511405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | 2320 Rothsville Rd Suite 200 Lititz PA 17543-8215 Ph: (717) 721-4800 |
NPI Number | 1154872661 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
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1154872661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family 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 | |