Lebanon Wellness

NPI #1063374601 in Lititz, Pennsylvania

Provider Information

NPI Number: 1063374601
Entity Type: Organization
Organization Name: Lebanon Wellness
Subpart: Yes (part of a larger organization)
Parent Organization: LEBANON WELLNESS
Primary Specialty: Internal Medicine
Enumeration Date: Dec 2, 2025
Last Updated: Jan 23, 2026

Practice Location

Address: 245 BLOOMFIELD DR STE 210
City: Lititz
State: Pennsylvania
ZIP Code: 17543-7788
Phone: (717) 297-7900

Authorized Official

Name: SHAVKAT R RUZIEV, MD
Title: PRESIDENT
Phone: (717) 297-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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