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Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Parent organization
LANCASTER GENERAL MEDICAL GROUP
Other names
Penn Medicine LGHP Family Medicine Lincoln
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANCASTER GENERAL MEDICAL GROUP
Authorized official
GARY WELCH (CHIEF FINANCIAL OFFICER)
(717) 544-5658
Entity
Organization
Contact information
Practice address
1261 DIVISION HWY STE 1, EPHRATA, PA 17522-8822
(717) 738-0660
(717) 738-0658
Mailing address
1261 DIVISION HWY STE 1, EPHRATA, PA 17522-8822
(717) 738-0660
(717) 738-0658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007327490206
—
PA
01
—
1282458
AETNA HMO
PA
01
—
1555387
GATEWAY HEALTH PLAN
PA
01
—
1875158
HIGHMARK BLUE SHIELD
PA
01
—
336301
AETNA CAP OFFICE#
PA
01
—
50060200
CAPITAL BLUE CROSS
PA
01
—
7991794
AETNA NON-HMO
PA
01
—
S1QF
GEISINGER HEALTH PLAN
PA
Enumeration date
06/18/2006
Last updated
05/07/2025
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