Organization
LEBANON WELLNESS
Active
Parent organization
LEBANON WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEBANON WELLNESS
Authorized official
SHAVKAT R RUZIEV MD (PRESIDENT)
(717) 297-7900
Entity
Organization
Contact information
Practice address
245 BLOOMFIELD DR STE 210, LITITZ, PA 17543-7788
(717) 297-7900
(717) 276-7323
Mailing address
974 ISABEL DR, LEBANON, PA 17042-7482
(717) 297-7900
(717) 276-7323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
01/23/2026
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