Organization
LANCASTER PA ENDOSCOPY ASC LLC
Active
Other names
Lancaster Gastroenterology Procedure Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17604
(717) 544-3569
(717) 544-3570
Mailing address
2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17604
(717) 544-3569
(717) 544-3570
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
17211501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019852560001
—
PA
Enumeration date
12/14/2006
Last updated
03/14/2017
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