| NPI | 1154795920 |
|---|---|
| Doing Business As | PENN MEDICINE LGHP FAMILY MEDICINE MANOR RIDGE |
| Entity Type | Organization |
| Authorized Contact | DENISE KENNEDY Vice President Financial Services 717-544-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2020-11-16 |