Organization
LANCASTER COUNTY PODIATRY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S YEAGER DPM (PARTNER)
(717) 733-2251
Entity
Organization
Contact information
Practice address
804 GRANDVIEW DR, STE 1, EPHRATA, PA 17522-1635
(717) 733-2251
Mailing address
804 GRANDVIEW DR, STE 1, EPHRATA, PA 17522-1635
(717) 733-2251
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018077160005
—
PA
01
—
02359500
CAPITAL BLUE CROSS
PA
01
—
1515009
GATEWAY
PA
01
—
541613
HIGHMARK BLUE SHIELD
PA
01
—
561286
AETNA
PA
Enumeration date
12/22/2005
Last updated
04/16/2008
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