Organization
LANCASTER COUNTY INTERNAL MEDICINE, INC.
Active
Organization
LANCASTER COUNTY INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S MAST (VICE PRESIDENT)
(717) 397-7066
Entity
Organization
Contact information
Practice address
1725 OREGON PIKE # A, SUITE 104, LANCASTER, PA 17601-4206
(717) 397-7066
(717) 397-7005
Mailing address
PO BOX 309, WILLOW STREET, PA 17584-0309
(717) 397-7066
(717) 397-7005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-006313L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
OS-006313L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017314850004
—
PA
Enumeration date
10/03/2006
Last updated
01/30/2008
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