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Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Parent organization
LANCASTER GENERAL MEDICAL GROUP
Other names
Penn Medicine LGHP Family Medicine County Line
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANCASTER GENERAL MEDICAL GROUP
Authorized official
DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
5360 LINCOLN HIGHWAY EAST, STORE #15, VILLAGE AT GAP, GAP, PA 17527-9461
(717) 442-8111
(717) 442-8981
Mailing address
5360 LINCOLN HIGHWAY EAST, STORE #15, VILLAGE AT GAP, GAP, PA 17527-9461
(717) 442-8111
(717) 442-8981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007327490138
—
PA
Enumeration date
07/01/2006
Last updated
11/17/2020
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