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Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Other names
Penn Medicine LGHP Family Medicine Abbeyville
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A KENNEDY (VP FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
101 ABBEYVILLE RD, LANCASTER, PA 17603-4603
(717) 291-5991
(717) 291-5806
Mailing address
101 ABBEYVILLE RD, LANCASTER, PA 17603-4603
(717) 291-5991
(717) 291-5806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02361000
CAPITAL BLUE CROSS
PA
05
—
1007327490093
—
PA
01
—
1518491
GATEWAY HEALTH PLAN
PA
01
—
515219
AETNA HMO
PA
01
—
5190494
AETNA NON-HMO
PA
01
—
5695
AETNA CAP OFFICE#
PA
01
—
874429
HIGHMARK BLUE SHIELD
PA
01
—
CN7058
RAILROAD MEDICARE
PA
01
—
S1QD
GEISINGER HEALTH PLAN
PA
Enumeration date
09/20/2005
Last updated
11/16/2020
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