Wellness Place of Lancaster LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

WELLNESS PLACE OF LANCASTER LLC

Practice address

313 W Liberty St Ste 359
Lancaster, PA 17603-2195

Phone

(717) 978-3052

Fax

(717) 824-3204

NPI assigned

Jun 10, 2025

Last updated

Jun 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Flavie Lesage JustafortNPI 1164610143

Title

Physician Assistant

Phone

(717) 978-3052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Flavie Lesage Justafort, P.A.

  • Physician Assistant
  • Lancaster, PA
  • NPI 1164610143
  NPD Authorized official

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1912892118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 359",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032195",
            "telephone_number": "717-978-3052",
            "fax_number": "717-824-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 359",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032195",
            "telephone_number": "717-978-3052",
            "fax_number": "717-824-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PLACE OF LANCASTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "JUSTAFORT",
        "authorized_official_first_name": "FLAVIE",
        "authorized_official_middle_name": "LESAGE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "717-978-3052"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Weitzel, M.D.
• Elizabeth Chilton Welchans, RD, LDN
• Well Counseling and Consulting Services
• Wellness Counseling Associates
• Wellness Merge Rehab
• Brianna Katherine Wells
• Vita Grace Wells
• Wellspan Citygate Surgery Center LLC
• Wellspan Medical Group (WellSpan Family Medicine - Granite Run)
• Wellspan Medical Group (WellSpan Radiology and Radiation Oncology)

• Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.