Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Other names
Penn Medicine LGHP Arthritis & Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
2108 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 299-1301
(717) 299-2214
Mailing address
2108 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 299-1301
(717) 299-2214
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039591
HIGHMARK BLUE SHIELD
PA
05
—
1007327490090
—
PA
01
—
CC2440
RAILROAD MEDICARE
PA
Enumeration date
11/09/2005
Last updated
11/16/2020
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