Pequea Valley Internal Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002045L Issued in PA

Legal business name

PEQUEA VALLEY INTERNAL MEDICINE

Practice address

1725 Oregon Pike
107B
Lancaster, PA 17601-4206

Phone

(717) 560-3505

Fax

(717) 560-3531

NPI assigned

Oct 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benedict R. Lacorte, DC

Title

Chiropractor

Phone

(717) 560-3505

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1164757381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 OREGON PIKE",
            "address_2": "107B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014206",
            "telephone_number": "717-560-3505",
            "fax_number": "717-560-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 OREGON PIKE",
            "address_2": "107B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014206",
            "telephone_number": "717-560-3505",
            "fax_number": "717-560-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEQUEA VALLEY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "LACORTE",
        "authorized_official_first_name": "BENEDICT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-560-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002045L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Psychiatric Wellness Services, PLLC (Soul Shine: Affirmative Psychiatric and Therapeutic Services)
• Pennsylvania Specialty Pathology LLC
• Pennsylvania Specialty Pathology, LLC
• Leonor M Pensiero, MA
• Rachel Viola Pepe
• Pequea Valley Internal Medicine, Inc.
• Caitlin B Perch, CRNP
• Lindsey Lynn Perea, D.O.
• Kenia Lucila Perez-Gonzalez
• Beatriz Perez

• Chiropractor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.