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Organization

LANCASTER GENERAL MEDICAL GROUP

Active
Other names
Penn Medicine LGH Physical Medicine and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization

Contact information

Practice address
675 GOOD DR, LANCASTER, PA 17601-2426
(717) 544-3059
(717) 394-7501
Mailing address
675 GOOD DR, LANCASTER, PA 17601-2426
(717) 544-3059
(717) 394-7501

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
01/16/2013
Last updated
11/16/2020
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