Northern Lancaster County Medical Group

Organization Active NPI Family Medicine Physician · Gordonville, PA

NPI 1780799577 · NPPES record last updated Mar 11, 2008

Key facts

NPI
1780799577
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Practice address
3469 Harvest Dr
Gordonville, PA 17529-9401
Phone
(717) 768-3100
NPI assigned
Aug 20, 2006
Organization subpart
No

Authorized official

Name
Cynthia Malizia
Title
Vice President Nlcmg
Phone
(717) 738-0851

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

3469 Harvest Dr
Gordonville, PA 17529-9401

Mailing address

PO Box 398
Brownstown, PA 17508-0398

Other identifiers

IdentifierTypeStateIssuer
1893629OtherPABLUE SHIELD
1013977730020MedicaidPA
DD6938OtherPARAILROAD MEDICARE

Other names

  • Harvest Drive Family Practice Doing business as

Other providers in Gordonville, PA

All providers in Gordonville, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.