Northern Lancaster County Medical Group
NPI #1346344561 in Ephrata, Pennsylvania
Provider Information
- NPI Number
- 1346344561
- Entity Type
- Organization
- Organization Name
- Northern Lancaster County Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 8, 2006
- Last Updated
- Oct 15, 2015
Practice Location
- Address
- 136 A & B LAKE STREET
- City
- Ephrata
- State
- Pennsylvania
- ZIP Code
- 17522-2415
- Phone
- (717) 721-7718
Authorized Official
- Name
- CHARLES DAVID NOLL, DO
- Title
- VICE PRESIDENT
- Phone
- (717) 859-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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