Provider Demographics
NPI:1699734210
Name:OB-GYN OF LANCASTER INC
Entity type:Organization
Organization Name:OB-GYN OF LANCASTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-390-2586
Mailing Address - Street 1:1059 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3130
Mailing Address - Country:US
Mailing Address - Phone:717-390-2586
Mailing Address - Fax:717-390-2584
Practice Address - Street 1:1059 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3130
Practice Address - Country:US
Practice Address - Phone:717-397-7085
Practice Address - Fax:717-390-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007423330001Medicaid
PA1007423330001Medicaid