| Organization Name: | SOUTHEAST LANCASTER HEALTH SERVICES |
| NPI Number: | 1013036391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES KELLY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 625 S Duke St Lancaster |
| State: | PA US |
| Postal Code: | 176024509 |
| Phone Number: | 7172996371 |
| Fax Number: | 7173978881 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 03/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TP004141B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |