Organization
QUALICARE
Active
Other names
LANCASTER WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAVKAT RUZIEV MD (CEO)
(215) 983-9441
Entity
Organization
Contact information
Practice address
974 ISABEL DR, LEBANON, PA 17042-7482
(215) 983-9441
Mailing address
974 ISABEL DR, LEBANON, PA 17042-7482
(215) 983-9441
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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