| NPI | 1760510523 |
|---|---|
| Doing Business As | WELLSPAN PEDIATRIC MEDICINE - LEBANON |
| Entity Type | Organization |
| Authorized Contact | JODY M BOGER Credentialing Coordinator 717-270-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-10-05 |