Organization
HENDERSON PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN C HENDERSON DPM (OWNER)
(717) 291-0391
Entity
Organization
Contact information
Practice address
882 MILLERSVILLE RD, LANCASTER, PA 17603
(717) 291-0391
(717) 291-0832
Mailing address
882 MILLERSVILLE RD, LANCASTER, PA 17603-6154
(717) 291-0391
(717) 291-0832
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480033950
RAILROAD MEDICARE
PA
Enumeration date
10/09/2007
Last updated
06/01/2018
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