OB-GYN OF LANCASTER, INC ADV NURSING PROV

LANCASTER, PA
NPI1841472859
Former Legal Business NameOB-GYN OF LANCASTER, INC
Entity TypeOrganization
Authorized ContactDIANE M STRECK
Credentialing
717-390-2589
Organization Subpart ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: PA  MW008165L)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: PA  UP1001076G)
367A00000X Advanced Practice Midwife
(Licence: PA  MW010049)
367A00000X Advanced Practice Midwife
(Licence: PA  MW008081L)
367A00000X Advanced Practice Midwife
(Licence: PA  MW008560L)
Enumeration Date2007-11-30
Last Update Date2008-08-29
Business Address
OB-GYN OF LANCASTER, INC ADV NURSING PROV
1059 COLUMBIA AVE
LANCASTER, PA 17603-3130
Phone number: 717-397-7085
Mailing Address
OB-GYN OF LANCASTER, INC ADV NURSING PROV
1059 COLUMBIA AVE
LANCASTER, PA 17603-3130
Phone number: 717-397-7085