Organization
LANCASTER UROLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOWMAN (PRACTICE MANAGER)
(717) 393-1771
Entity
Organization
Contact information
Practice address
2110 HARRISBURG PIKE, STE 1, LANCASTER, PA 17601-2644
(717) 393-1771
(717) 393-2782
Mailing address
2110 HARRISBURG PIKE, STE 1, LANCASTER, PA 17601-2644
(717) 393-1771
(717) 393-2782
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006786050004
—
PA
Enumeration date
07/06/2006
Last updated
07/24/2012
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