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Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Other names
Penn Medicine LGHP Family Medicine Strasburg
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A KENNEDY (VP FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
505 HISTORIC DR, STRASBURG, PA 17579-1479
(717) 687-0313
(717) 687-3604
Mailing address
505 HISTORIC DR, STRASBURG, PA 17579-1479
(717) 687-0313
(717) 687-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010606
HIGHMARK BLUE SHIELD
PA
01
—
03129700
CAPITAL BLUE CROSS
PA
05
—
1007327490416
—
PA
01
—
1518984
GATEWAY HEALTH PLAN
PA
01
—
2703425
AETNA HMO
PA
01
—
530947
AETNA CAP OFFICE#
PA
01
—
7653319
AETNA NON-HMO
PA
01
—
CG7288
RAILROAD MEDICARE
PA
01
—
S1QJ
GEISINGER HEALTH PLAN
PA
Enumeration date
02/21/2006
Last updated
12/18/2024
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