Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEQUEA VALLEY INTERNAL MEDICINE, INC.
Active
Organization
PEQUEA VALLEY INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA R LACORTE RN (PRACTICE ADMINISTRATOR)
(717) 560-3505
Entity
Organization
Contact information
Practice address
1725 OREGON PIKE, SUITE 107 B, LANCASTER, PA 17601-4206
(717) 560-3505
Mailing address
1725 OREGON PIKE, SUITE 107 B, LANCASTER, PA 17601-4206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016560860002
—
PA
01
—
1646737
BLUESHIELD
PA
01
—
50041137
CAP BC
PA
01
—
DC7495
RR MCR
PA
Enumeration date
12/20/2006
Last updated
12/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up