Provider Demographics
NPI:1467166488
Name:LANCASTER PRIMARY CARE LLC
Entity Type:Organization
Organization Name:LANCASTER PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TITUS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEITORO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:717-869-6710
Mailing Address - Street 1:315 W JAMES ST STE 103A
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2979
Mailing Address - Country:US
Mailing Address - Phone:717-869-6710
Mailing Address - Fax:717-326-1395
Practice Address - Street 1:315 W JAMES ST STE 103A
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2979
Practice Address - Country:US
Practice Address - Phone:717-869-6710
Practice Address - Fax:717-326-1395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty