Provider Demographics
NPI:1518029388
Name:REGIONAL ORTHOPEDIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:REGIONAL ORTHOPEDIC ASSOCIATES, P.C.
Other - Org Name:REGIONAL ORTHOPEDIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:O
Authorized Official - Last Name:YARUS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-273-2102
Mailing Address - Street 1:410 CUMBERLAND STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-1704
Mailing Address - Country:US
Mailing Address - Phone:717-273-2102
Mailing Address - Fax:717-273-0152
Practice Address - Street 1:410 CUMBERLAND STREET
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-1704
Practice Address - Country:US
Practice Address - Phone:717-273-2102
Practice Address - Fax:717-273-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004974L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011955790003Medicaid
PA470519EV2Medicare ID - Type Unspecified
E52504Medicare UPIN