Organization · Type 2 NPI

Lancaster General Medical Group

Family Medicine Physician · Lancaster, PA

NPI number 1174353676 Active

Practice location

175 S Centerville Road
Lancaster, PA 17603-0000

Call (717) 299-4644 Map

Fax (717) 390-2916

Mailing address

555 N. Duke St, PO Box 3555
Lancaster, PA 17604-3555

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1174353676
Entity type: Organization (Type 2)
Issued: Aug 7, 2024
Last updated: Jul 23, 2025
Status: Active

Other names

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Penn Medicine LGHP Family Medicine Centerville · doing business as
Penn Medicine LGHP Family Medicine Centerville · doing business as

Authorized official

Denise Kennedy
Vice President Operational Fin
(717) 544-5010

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174353676

Lancaster General Medical Group's National Provider Identifier is 1174353676, issued on Aug 7, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lancaster, PA. The record was last updated on Jul 23, 2025.