Individual
DR. GEORGE E GROLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 N LIME ST, LANCASTER, PA 17602-2729
(717) 392-6267
Mailing address
203 N LIME ST, LANCASTER, PA 17602-2729
(717) 392-6267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD035293E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01624201
CAP BLUE CROSS
PA
01
—
07003589
RR MEDICARE
—
01
—
140421
BLUE SHIELD
PA
01
—
562859
AETNA
PA
Enumeration date
06/15/2006
Last updated
09/16/2011
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