Organization
PHYSICIANS DIALYSIS OF LANCASTER LLC
Active
Other names
PDL Annex PD
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (SR VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
2110 HARRISBURG PIKE, SUITE 310, LANCASTER, PA 17601-2644
(717) 544-3232
(717) 544-3236
Mailing address
5200 VIRGINIA WAY, STE 400 L & C, BRENTWOOD, TN 37027
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
03/27/2008
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