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Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Other names
Penn Medicine LGHP Family Medicine Norlanco
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
418 CLOVERLEAF RD, ELIZABETHTOWN, PA 17022-9320
(717) 653-1467
(717) 653-1001
Mailing address
418 CLOVERLEAF RD, ELIZABETHTOWN, PA 17022-9320
(717) 653-1467
(717) 653-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03093200
CAPITAL BLUE CROSS
PA
05
—
1007327490096
—
PA
01
—
122652
HIGHMARK BLUE SHIELD
PA
01
—
1505413
GATEWAY HEALTH PLAN
PA
01
—
4482852
AETNA NON-HMO
PA
01
—
516413
AETNA HMO
PA
01
—
5699
AETNA CAP OFFICE#
PA
01
—
CN6314
RAILROAD MEDICARE
PA
01
—
S101
GEISINGER HEALTH PLAN
PA
Enumeration date
03/02/2006
Last updated
11/16/2020
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