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Organization

LANCASTER GENERAL MEDICAL GROUP

Active
Other names
Lancaster Neurology Group
Organization subpart
No

Provider details

NPI number
Authorized official
JEROME I GOTTLIEB M.D. (PRESIDENT & CEO)
(717) 544-4001
Entity
Organization

Contact information

Practice address
2106 HARRISBURG PIKE, SUITE 310, LANCASTER, PA 17601-2644
(717) 544-0545
(717) 544-0546
Mailing address
2106 HARRISBURG PIKE, SUITE 310, LANCASTER, PA 17601-2644
(717) 544-0545
(717) 544-0546

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007327490098
PA
01
1472363
AETNA HMO
PA
01
1562801
GATEWAY HEALTH PLAN
PA
01
1925949
HIGHMARK BLUE SHIELD
PA
01
50065485
CAPITAL BLUE CROSS
PA
01
7249870
AETNA NON-HMO
PA
01
788V
GEISINGER HEALTH PLAN
PA
Enumeration date
12/19/2006
Last updated
08/20/2007
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