Provider Demographics
NPI:1982683363
Name:BEIDLER, LORIN K (MD)
Entity Type:Individual
Prefix:
First Name:LORIN
Middle Name:K
Last Name:BEIDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1001 CORNERSTONE DRIVE
Mailing Address - Street 2:STE B
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-9416
Mailing Address - Country:US
Mailing Address - Phone:717-653-2929
Mailing Address - Fax:717-492-0699
Practice Address - Street 1:1001 CORNERSTONE DRIVE
Practice Address - Street 2:STE B
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9416
Practice Address - Country:US
Practice Address - Phone:717-653-2929
Practice Address - Fax:717-492-0699
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2020-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD424865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7580673OtherAETNA NON-HMO
PAP006368OtherGATEWAY HEALTH PLAN
PA1428534OtherHIGHMARK BLUE SHIELD
PAP00227853OtherRAILROAD MEDICARE
PA50047708OtherCAPITAL BLUE CROSS
PA93354 S101OtherGEISINGER HEALTH PLAN
PA1013001760001Medicaid
PA1085324OtherAETNA HMO
PAI28129OtherHEALTH ASSURANCE
PA50047708OtherCAPITAL BLUE CROSS
PA1428534OtherHIGHMARK BLUE SHIELD