Northern Lancaster County Medical Group

NPI #1780016253 in Christiana, Pennsylvania

Provider Information

NPI Number: 1780016253
Entity Type: Organization
Organization Name: Northern Lancaster County Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Aug 6, 2013
Last Updated: May 5, 2015

Practice Location

Address: 1135 GEORGETOWN ROAD
Address 2: SUITE 201
City: Christiana
State: Pennsylvania
ZIP Code: 17509
Phone: (717) 806-3800

Authorized Official

Name: DR. CHARLES DAVID NOLL, DO
Title: VICE PRESIDENT
Phone: (717) 859-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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