# LANCASTER PRIMARY CARE MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Five Star Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831593268
- **Authorized official:** JOHN C RADFORD MD (OWNER)
- **Authorized official phone:** (716) 699-9032

## Contact information

- **Practice address:** 5007 TRANSIT RD, DEPEW, NY 14043-4617
- **Practice address phone:** (716) 650-5516
- **Practice address fax:** (716) 650-5515
- **Mailing address:** PO BOX 248, ELLICOTTVILLE, NY 14731-0248
- **Mailing address phone:** (716) 699-9032
- **Mailing address fax:** (716) 699-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 08/13/2015