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Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Other names
Bareville Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MALIZIA (VP NLCMG)
(717) 738-2280
Entity
Organization
Contact information
Practice address
15 ZIMMERMAN RD, LEOLA, PA 17540-1949
(717) 656-4922
Mailing address
PO BOX 398, BROWNSTOWN, PA 17508-0398
(717) 859-2038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538659
CIGNA
PA
01
—
2412011000
BLUE SHIELD
PA
01
—
50051122
BLUE CROSS
PA
01
—
7022107
AETNA
PA
Enumeration date
06/12/2006
Last updated
08/22/2020
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