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Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Other names
Penn Medicine Lancaster General Health Physicians Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
51 PETERS RD, LITITZ, PA 17543-7685
(717) 626-2167
(717) 626-1915
Mailing address
51 PETERS RD, LITITZ, PA 17543-7685
(717) 626-2167
(717) 626-1915
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/06/2016
Last updated
11/16/2020
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