Individual
TIERNEY ELIZABETH WOLGEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
690 GOOD DR, LANCASTER, PA 17601-2433
(603) 316-0648
Mailing address
694 GOOD DR STE 11, LANCASTER, PA 17601-2433
(603) 316-0648
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125075538
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
02/05/2026
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