Organization
LANCASTER GASTROENTEROLOGY PROCEDURE CENTER LLC
Active
Other names
Lancaster Gastroenterology Procedure Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17601-2644
(717) 544-3569
(717) 544-3570
Mailing address
2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17601-2644
(717) 544-3569
(717) 544-3570
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
17211501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019852560001
—
PA
01
—
P00068382
RAILROAD MEDICARE
PA
Enumeration date
11/22/2005
Last updated
11/14/2008
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