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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