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Organization

DERMATOLOGIST OF LANCASTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA L MULL (BILLING)
(717) 947-4148
Entity
Organization

Contact information

Practice address
1613 OREGON PIKE, LANCASTER, PA 17601-4335
(717) 947-4148
(717) 947-7958
Mailing address
1613 OREGON PIKE, LANCASTER, PA 17601-4335
(717) 947-4148
(717) 947-7958

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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