Lancaster Medical Group, LLC

Organization Active NPI Surgery Physician · Lancaster, PA

NPI 1487039699 · NPPES record last updated Jul 29, 2015

Key facts

NPI
1487039699
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
LANCASTER MEDICAL GROUP, LLC
Practice address
330 N Arch St
Lancaster, PA 17603-2929
Phone
(717) 735-7422
NPI assigned
Jul 29, 2015
Organization subpart
No

Authorized official

Name
Dennis Hertz
Title
Practice Administrator
Phone
(717) 291-8078

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lancaster Medical Group LLC (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X Yes
Vascular Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2086S0129X

Addresses

Primary practice location

330 N Arch St
Lancaster, PA 17603-2929

Mailing address

330 N Arch St
Lancaster, PA 17603-2929
Phone (717) 735-7422

Other names

  • General & Vascular Surgery of Lancaster Doing business as

Other providers in Lancaster, PA

All providers in Lancaster, PA · Surgery Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.