Organization Name: | LANCASTER GENERAL MEDICAL GROUP |
NPI Number: | 1073908323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS RAYMOND FOLEY (PRESIDENT, PHYSICIAN SERVICES) |
Mailing Address: | 950 S Octorara Trl Parkesburg |
State: | PA US |
Postal Code: | 193652100 |
Phone Number: | 8668710851 |
Fax Number: | 6108576638 |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |