# LANCASTER GENERAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penn Medicine Lancaster General Health Physicians Specialty Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245714773
- **Authorized official:** DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
- **Authorized official phone:** (717) 544-5010

## Contact information

- **Practice address:** 51 PETERS RD, LITITZ, PA 17543-7685
- **Practice address phone:** (717) 627-8225
- **Practice address fax:** (717) 627-8226
- **Mailing address:** 51 PETERS RD, LITITZ, PA 17543-7685
- **Mailing address phone:** (717) 627-8225
- **Mailing address fax:** (717) 627-8226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 208800000X | Urology Physician | — | — | — |
| 2088F0040X | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 11/16/2020
