# LANCASTER CLEFT PALATE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740486299
- **Authorized official:** ROSS E LONG JR. DMD (DMD)
- **Authorized official phone:** (717) 394-3793

## Contact information

- **Practice address:** 223 N LIME ST, LANCASTER, PA 17602-2748
- **Practice address phone:** (717) 394-3793
- **Mailing address:** 223 N LIME ST, LANCASTER, PA 17602-2748
- **Mailing address phone:** (717) 394-3793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | PA | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 08/22/2020
