Northern Lancaster County Medical Group

NPI #1932155181 in Leola, Pennsylvania

Provider Information

NPI Number
1932155181
Entity Type
Organization
Organization Name
Northern Lancaster County Medical Group
Primary Specialty
Family Medicine
Enumeration Date
May 26, 2006
Last Updated
May 5, 2015

Practice Location

Address
337 W MAIN ST
Address 2
SUITE 100
City
Leola
ZIP Code
17540-2109
Phone
(717) 656-6122

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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