Organization
OB-GYN OF LANCASTER, INC ADV NURSING PROV
Active
Parent organization
OB-GYN OF LANCASTER, INC
Other names
OB-GYN of Lancaster, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
OB-GYN OF LANCASTER, INC
Authorized official
DIANE M STRECK LPN, CAC (CREDENTIALING)
(717) 390-2589
Entity
Organization
Contact information
Practice address
1059 COLUMBIA AVE, LANCASTER, PA 17603-3130
(717) 397-7085
(717) 390-2584
Mailing address
1059 COLUMBIA AVE, LANCASTER, PA 17603-3130
(717) 397-7085
(717) 390-2584
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
UP1001076G
PA
367A00000X
Advanced Practice Midwife
MW008081L
PA
367A00000X
Advanced Practice Midwife
Primary
MW008165L
PA
367A00000X
Advanced Practice Midwife
MW008560L
PA
367A00000X
Advanced Practice Midwife
MW010049
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007423330007
—
PA
05
—
102138829
—
PA
Enumeration date
11/30/2007
Last updated
08/29/2008
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