Organization
LANCASTER MEDICAL GROUP, LLC
Active
Other names
Plastic & Aesthetic Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HERTZ (PRACTICE ADMINISTRATOR)
(717) 291-8078
Entity
Organization
Contact information
Practice address
1535 HIGHLANDS DR STE 300, LITITZ, PA 17543-7681
(717) 625-3509
Mailing address
1535 HIGHLANDS DR STE 300, LITITZ, PA 17543-7681
(717) 625-3509
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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