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Organization

PHYSICIANS DIALYSIS OF LANCASTER LLC

Active
Other names
PDI Lancaster
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP L & C DEPARTMENT)
(615) 341-6641
Entity
Organization

Contact information

Practice address
1412 E KING ST, LANCASTER, PA 17602-3240
(717) 392-1552
(717) 392-4413
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100737549 0008
PA
Enumeration date
04/05/2006
Last updated
02/20/2025
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