# LANCASTER GENERAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penn Medicine LGHP Diabetes & Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366438590
- **Authorized official:** DENISE A KENNEDY (VP FINANCIAL SERVICES)
- **Authorized official phone:** (717) 544-5010

## Contact information

- **Practice address:** 2112 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
- **Practice address phone:** (717) 544-3059
- **Practice address fax:** (717) 544-3638
- **Mailing address:** 2112 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
- **Mailing address phone:** (717) 544-3059
- **Mailing address fax:** (717) 544-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 11/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1003073 | AMERIHEALTH MERCY HEALTH | PA |
| 05 | — | 1007327490102 | — | PA |
| 01 | — | 116085 | AETNA HMO | PA |
| 01 | — | 1449920 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 1529799 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 4699 | GEISINGER HEALTH PLAN | PA |
| 01 | — | 50008354 | CAPITAL BLUE CROSS | PA |
| 01 | — | 5991102 | AETNA NON-HMO | PA |
| 01 | — | CD6279 | RAILROAD MEDICARE | PA |