OrganizationActive
Wellspan Medical Group
NPI 1164097861 · Emergency Medical Services (Emergency Medicine) Physician · Lebanon, PA
Provider details
- NPI number
- 1164097861
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Laura Frank, Credentialing Manager
Practice location
252 S 4th St
Lebanon, PA 17042-6111
Phone: (717) 851-1405
Fax: (717) 851-6969
Mailing address
3421 Concord Rd
York, PA 17402-9001
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.