Provider Demographics
NPI:1386612778
Name:HORENKAMP, ELIZABETH C (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:HORENKAMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3200
Mailing Address - Country:US
Mailing Address - Phone:717-544-3600
Mailing Address - Fax:717-544-3604
Practice Address - Street 1:2102 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17604-3200
Practice Address - Country:US
Practice Address - Phone:717-544-3600
Practice Address - Fax:717-544-3604
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055315L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1472123OtherHIGHMARK BLUE SHIELD
PA50014743OtherCAPITAL BLUE CROSS
PAH53087OtherHEALTH ASSURANCE
PA3301606OtherAETNA HMO
PA0019597270001Medicaid
PA7708296OtherAETNA NON-HMO
PA1534150OtherGATEWAY HEALTH PLAN
PAH53087Medicare UPIN
PA50014743OtherCAPITAL BLUE CROSS