Northern Lancaster County Medical Group

NPI #1073547733 in Ephrata, Pennsylvania

Provider Information

NPI Number: 1073547733
Entity Type: Organization
Organization Name: Northern Lancaster County Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Jul 10, 2006
Last Updated: May 28, 2015

Practice Location

Address: 808 PLEASANTVIEW DR
City: Ephrata
State: Pennsylvania
ZIP Code: 17522-1644
Phone: (717) 733-9090

Authorized Official

Name: CHARLES DAVID NOLL, DO
Title: VICE PRESIDENT
Phone: (717) 851-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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