| NPI | 1558749846 |
|---|---|
| Doing Business As | WELLSPAN UROLOGY - LEBANON |
| Entity Type | Organization |
| Authorized Contact | JODY M BOGER Credentialing Coordinator 717-270-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2016-10-05 |