Individual
DR. JOHN B LEGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
203 N LIME ST, LANCASTER, PA 17602-2729
(717) 392-6267
Mailing address
203 N LIME ST, LANCASTER, PA 17602-2729
(717) 392-6267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS007474E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02022801
CAP. BLUE CROSS
PA
01
—
070003591
RR MEDICARE
PA
01
—
562900
AETNA
PA
01
—
671190
BLUE SHIELD
PA
Enumeration date
06/16/2006
Last updated
01/02/2008
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