Organization
STANTON S. LEBOUITZ, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY ANN MCWILLIAMS (OFFICE MANAGER)
(717) 741-0771
Entity
Organization
Contact information
Practice address
1936 POWDER MILL RD, YORK, PA 17402-4725
(717) 741-0811
(717) 741-9499
Mailing address
1936 POWDER MILL RD, YORK, PA 17402-4725
(717) 741-0811
(717) 741-9499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD011092E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305100
CAPITAL BLUE CROSS
PA
01
—
62987
HIGHMARK BLUE SHIELD
PA
05
—
78688
—
PA
Enumeration date
03/20/2007
Last updated
01/26/2011
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