Organization
LANCASTER GENERAL MEDICAL GROUP
Active
Other names
Penn Medicine Lancaster General Health Physicians Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KENNEDY (VICE PRESIDENT FINANCIAL SERVICES)
(717) 544-5010
Entity
Organization
Contact information
Practice address
2110 HARRISBURG PIKE STE 100, LANCASTER, PA 17601-2644
(717) 544-3191
(717) 544-3637
Mailing address
2110 HARRISBURG PIKE STE 100, LANCASTER, PA 17601-2644
(717) 544-3191
(717) 544-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03092900
CAPITAL BLUE CROSS
PA
05
—
1007327490100
—
PA
01
—
1519062
GATEWAY HEALTH PLAN
PA
01
—
2117135
AETNA HMO
PA
01
—
406992
HIGHMARK BLUE SHIELD
PA
01
—
502924
AETNA CAP OFFICE#
PA
01
—
5720505
AETNA NON-HMO
PA
01
—
CG4751
RAILROAD MEDICARE
PA
01
—
S1QA
GEISINGER HEALTH PLAN
PA
Enumeration date
11/07/2005
Last updated
11/17/2020
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