Provider Demographics
NPI:1598988610
Name:LANCASTER FOOT HEALTH ASSOCIATES, LTD
Entity Type:Organization
Organization Name:LANCASTER FOOT HEALTH ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:717-397-4209
Mailing Address - Street 1:1604 LITITZ PIKE
Mailing Address - Street 2:SUITE2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6534
Mailing Address - Country:US
Mailing Address - Phone:717-397-4206
Mailing Address - Fax:717-397-3568
Practice Address - Street 1:1604 LITITZ PIKE
Practice Address - Street 2:SUITE2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6534
Practice Address - Country:US
Practice Address - Phone:717-397-4206
Practice Address - Fax:717-397-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002271L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU02096Medicare UPIN
PA104370Medicare ID - Type Unspecified