Organization
GARY A LEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALLEN LEASE DO (OWNER)
(717) 764-3373
Entity
Organization
Contact information
Practice address
510 GREENBRIAR RD, YORK, PA 17404-1335
(717) 764-0375
Mailing address
510 GREENBRIAR RD, YORK, PA 17404-1335
(717) 764-0375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003383L
PA
Other
Enumeration date
01/29/2007
Last updated
12/07/2010
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