# LANCASTER GENERAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANCASTER GENERAL MEDICAL GROUP
- **Other names:** Penn Medicine LGHP Family Medicine Lincoln
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134164676
- **Legal business name:** LANCASTER GENERAL MEDICAL GROUP
- **Authorized official:** GARY WELCH (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (717) 544-5658

## Contact information

- **Practice address:** 1261 DIVISION HWY STE 1, EPHRATA, PA 17522-8822
- **Practice address phone:** (717) 738-0660
- **Practice address fax:** (717) 738-0658
- **Mailing address:** 1261 DIVISION HWY STE 1, EPHRATA, PA 17522-8822
- **Mailing address phone:** (717) 738-0660
- **Mailing address fax:** (717) 738-0658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 05/07/2025

## 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 |