Gary a Lease

NPI #1619013505 in York, Pennsylvania

Provider Information

NPI Number: 1619013505
Entity Type: Organization
Organization Name: Gary a Lease
Primary Specialty: Family Medicine
Enumeration Date: Jan 29, 2007
Last Updated: Dec 7, 2010

Practice Location

Address: 510 GREENBRIAR RD
City: York
State: Pennsylvania
ZIP Code: 17404-1335
Phone: (717) 764-0375

Authorized Official

Name: GARY ALLEN LEASE, DO
Title: OWNER
Phone: (717) 764-3373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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