Organization · Type 2 NPI

Lancaster General Medical Group

Vascular Surgery Physician · Lancaster, PA

NPI number 1104740059 Active

Practice location

538 N Queen St Ste 320
Lancaster, PA 17603-3046

Fax (717) 290-3301

Mailing address

555 N Duke St
Lancaster, PA 17602-2250

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1104740059

Lancaster General Medical Group's National Provider Identifier is 1104740059, issued on Aug 5, 2026. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lancaster, PA. The record was last updated on Aug 5, 2026.