Provider Demographics
NPI:1215033683
Name:LANCASTER ORTHODONTIC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LANCASTER ORTHODONTIC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMICHANE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MMSC
Authorized Official - Phone:717-569-7001
Mailing Address - Street 1:1801 FRUITVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4079
Mailing Address - Country:US
Mailing Address - Phone:717-569-7001
Mailing Address - Fax:717-569-3476
Practice Address - Street 1:1801 FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4079
Practice Address - Country:US
Practice Address - Phone:717-569-7001
Practice Address - Fax:717-569-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty