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NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI 1790736585


NPI Information

NPI: 1790736585
Provider Name: NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing Business As: WELLSPAN PULMONARY & SLEEP MEDICINE

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
227 GRANITE RUN DR
SUITE 110
LANCASTER, PA
ZIP 17601
Phone: (717) 560-5156
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NORTHERN LANCASTER COUNTY MEDICAL GROUP is a pulmonary disease internal medicine in Lancaster, PA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI is 1790736585. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Pulmonary & Sleep Medicine.

The provider's business location address is:

227 GRANITE RUN DR
SUITE 110
LANCASTER, PA
ZIP 17601-813
Phone: (717) 560-5156
Fax: (717) 560-5165

The provider's authorized official is Charles David Noll .
The authorized official title is Vice President and has the following contact phone number (717) 859-5161.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 5/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013977730019MEDICAIDPENNSYLVANIA
2092914MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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