# FUNCTIONAL HEALTH OF LANCASTER LLC

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

## Provider details

- **NPI number:** 1982280319
- **Authorized official:** MARY E REGAN DNP, CRNP (OWNER/PROVIDER)
- **Authorized official phone:** (717) 468-9182

## Contact information

- **Practice address:** 1695 OREGON PIKE, LANCASTER, PA 17601
- **Practice address phone:** (717) 490-6227
- **Practice address fax:** (833) 389-1700
- **Mailing address:** 766 BARR BLVD, LANCASTER, PA 17603-2303
- **Mailing address phone:** (717) 468-9182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 03/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134447998 | NPI IS SEARCHABLE BY OTHER INSURERS | PA |