Provider Demographics
NPI:1740268184
Name:LANCASTER EMERGENCY ASSOCIATES LTD
Entity type:Organization
Organization Name:LANCASTER EMERGENCY ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, LEA
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERKOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-544-4978
Mailing Address - Street 1:PO BOX 417113
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-7113
Mailing Address - Country:US
Mailing Address - Phone:866-968-6774
Mailing Address - Fax:781-276-6401
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-4978
Practice Address - Fax:717-544-7043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PALA437937OtherBLUE SHIELD
PA000683276Medicaid
PA0006832760005Medicaid
PA0006832760005Medicaid
PA437937HJWMedicare PIN