Lebanon Valley Family Medicine INC

NPI #1639369804 in Palmyra, Pennsylvania

Provider Information

NPI Number
1639369804
Entity Type
Organization
Organization Name
Lebanon Valley Family Medicine INC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jul 25, 2007
Last Updated
Oct 22, 2012

Practice Location

Address
1400 S FORGE RD
Address 2
SUITE 1
ZIP Code
17078-9519
Phone
(717) 838-1301

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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