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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Family Medicine - Norman Drive
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA M VEST (CREDENTIALING SUPERVISOR)
(717) 851-6928
Entity
Organization
Contact information
Practice address
720 NORMAN DR, LEBANON, PA 17042-7481
(717) 639-3230
Mailing address
720 NORMAN DR, LEBANON, PA 17042-7481
(717) 639-3230
(717) 274-1659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
05/08/2018
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