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Organization

LANCASTER GENERAL HOSPITAL

Active
Parent organization
LANCASTER GENERAL HOSPITAL
Other names
Penn Medicine LGHP Geriatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANCASTER GENERAL HOSPITAL
Authorized official
GARY A WELCH (CHIEF OPERATING OFFICER)
(717) 544-5658
Entity
Organization

Contact information

Practice address
212 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584-9668
(717) 464-9173
(717) 464-0823
Mailing address
212 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584-9668
(717) 464-9173
(717) 464-0823

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000136758
UNISON
PA
01
001399238
HIGHMARK BLUE SHIELD
PA
01
20054139
AMERIHEALTH MERCY
PA
01
2087959000
AMERIHEALTH 65
PA
01
S1P6
GEISINGER
PA
Enumeration date
01/26/2007
Last updated
04/28/2025
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