Organization
PHYSICIANS DIALYSIS OF LANCASTER LLC
Active
Other names
Willow Lakes Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
226 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584-9665
(717) 947-3556
(717) 947-3574
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
Enumeration date
02/27/2020
Last updated
01/06/2025
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