OrganizationActive
Lebanon Wellness
NPI 1063374601 · Internal Medicine Physician · Lititz, PA
Lebanon Wellness is a Internal Medicine Physician organization in Lititz, PA (NPI 1063374601).
Provider details
- NPI number
- 1063374601
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lebanon Wellness
- Organization subpart
- Yes
- Authorized official
- Shavkat Ruziev, President(717) 297-7900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
245 Bloomfield Dr Ste 210
Lititz, PA 17543-7788
Phone: (717) 297-7900
Fax: (717) 276-7323
Street-level locationGet directions
Mailing address
974 Isabel Dr
Lebanon, PA 17042-7482
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Lebanon Wellness's NPI number?
- Lebanon Wellness's National Provider Identifier (NPI) is 1063374601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lebanon Wellness?
- Lebanon Wellness is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lebanon Wellness located?
- Lebanon Wellness's practice location on file with NPPES is 245 Bloomfield Dr Ste 210, Lititz, PA 17543-7788.
- What is Lebanon Wellness's phone number?
- The practice phone number listed in the NPPES registry for Lebanon Wellness is (717) 297-7900.
- Who is the authorized official for Lebanon Wellness?
- The authorized official listed on Lebanon Wellness's NPPES record is Shavkat Ruziev, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lebanon Wellness's NPI active?
- Yes — Lebanon Wellness's NPI (1063374601) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.