Provider Demographics
NPI:1700242682
Name:ORTHOPEDIC ASSOC OF LANCASTER LTD
Entity type:Organization
Organization Name:ORTHOPEDIC ASSOC OF LANCASTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WEIK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-391-2489
Mailing Address - Street 1:1701 CORNWALL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7480
Mailing Address - Country:US
Mailing Address - Phone:717-299-4871
Mailing Address - Fax:717-391-2494
Practice Address - Street 1:1701 CORNWALL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7480
Practice Address - Country:US
Practice Address - Phone:717-299-4871
Practice Address - Fax:717-391-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty