# APOLLO MEDICAL GROUP OF LANCASTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285283549
- **Authorized official:** ROBIN VAN SPRUNDEL (DIRECTOR OF ADMINISTRATION)
- **Authorized official phone:** (941) 725-1198

## Contact information

- **Practice address:** 160 N POINTE BLVD STE 105, LANCASTER, PA 17601-4134
- **Practice address phone:** (717) 359-3510
- **Practice address fax:** (717) 359-3511
- **Mailing address:** PO BOX 20340, SPRINGFIELD, IL 62708-0340
- **Mailing address phone:** (941) 360-1566
- **Mailing address fax:** (941) 358-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 09/10/2019
- **Last updated:** 04/05/2023