Organization
LANCASTER PET PARTNERSHIP, LLP
Active
Other names
Lancaster PET Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
LUANN V PAULIN (CREDENTIALING SPECIALIST)
(717) 412-1295
Entity
Organization
Contact information
Practice address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3030
(717) 544-3220
Mailing address
PO BOX 4216, LANCASTER, PA 17604-4216
(717) 394-6028
(717) 509-6362
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019156890004
—
PA
Enumeration date
11/18/2014
Last updated
03/23/2020
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