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Organization

FUNCTIONAL HEALTH OF LANCASTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E REGAN DNP, CRNP (OWNER/PROVIDER)
(717) 468-9182
Entity
Organization

Contact information

Practice address
1695 OREGON PIKE, LANCASTER, PA 17601
(717) 490-6227
(833) 389-1700
Mailing address
766 BARR BLVD, LANCASTER, PA 17603-2303
(717) 468-9182

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134447998
NPI IS SEARCHABLE BY OTHER INSURERS
PA
Enumeration date
03/24/2021
Last updated
03/24/2021
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