Provider Demographics
NPI:1376799429
Name:URGENT CARE CENTER OF LANCASTER, LLC
Entity Type:Organization
Organization Name:URGENT CARE CENTER OF LANCASTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:F
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-581-0538
Mailing Address - Street 1:836 HOUSTON RUN DR.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GAP
Mailing Address - State:PA
Mailing Address - Zip Code:17527
Mailing Address - Country:US
Mailing Address - Phone:717-581-0538
Mailing Address - Fax:717-581-0539
Practice Address - Street 1:836 HOUSTON RUN DR.
Practice Address - Street 2:SUITE 201
Practice Address - City:GAP
Practice Address - State:PA
Practice Address - Zip Code:17527
Practice Address - Country:US
Practice Address - Phone:717-581-0538
Practice Address - Fax:717-581-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care