Organization
LANCASTER KETAMINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH GUNDERSON (DO)
(717) 553-0530
Entity
Organization
Contact information
Practice address
1689 CROWN AVE STE 2, LANCASTER, PA 17601-6314
(717) 553-0530
Mailing address
1689 CROWN AVE STE 2, LANCASTER, PA 17601-6314
(717) 553-0530
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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