Organization
PATHOLOGY ASSOCIATES OF LANCASTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD EISENHOWER M.D. (PRESIDENT)
(717) 291-8022
Entity
Organization
Contact information
Practice address
250 COLLEGE AVE, LANCASTER, PA 17603-3363
(717) 291-8022
(717) 291-8458
Mailing address
PO BOX 129, 1097 COMMERCIAL AVE, EAST PETERSBURG, PA 17520-0129
(586) 412-4000
(586) 412-4102
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001122821 0006
—
PA
05
—
001122821 0009
—
PA
01
—
220003946
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
05/19/2008
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