Provider Demographics
NPI:1447562020
Name:THE HEART GROUP OF LANCASTER GENERAL HEALTH
Entity Type:Organization
Organization Name:THE HEART GROUP OF LANCASTER GENERAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND COO
Authorized Official - Prefix:
Authorized Official - First Name:SHELVY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-481-7395
Mailing Address - Street 1:217 HARRISBURG AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2962
Mailing Address - Country:US
Mailing Address - Phone:717-397-5484
Mailing Address - Fax:717-397-8407
Practice Address - Street 1:217 HARRISBURG AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2962
Practice Address - Country:US
Practice Address - Phone:717-397-5484
Practice Address - Fax:717-397-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA39D0188672291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory