Provider Demographics
NPI:1033362116
Name:MACKENZIE, IAIN LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:IAIN
Middle Name:LEWIS
Last Name:MACKENZIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 MONUMENT ROAD SUITE 250
Mailing Address - Street 2:APPLE HILL MEDICAL CENTER DIGESTIVE DISEASE CENTER
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-741-9344
Mailing Address - Fax:717-741-9633
Practice Address - Street 1:25 MONUMENT ROAD SUITE 250
Practice Address - Street 2:APPLE HILL MEDICAL CENTER DIGESTIVE DISEASE CENTER
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-741-9344
Practice Address - Fax:717-741-9633
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031017L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB33838Medicare UPIN