| NAME |
LANCASTER VA CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
212 WILLOW VALLEY LAKES DRIVE, SUITE 208 |
| CITY |
WILLOW STREET |
| ZIP |
17584-9668 |
| OFFICIAL VA NAME |
LANCASTER VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WILLOW STREET VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1265489165
-
- 2018-12-10 00:00:00
- STATUS: ACTIVE
- NPI: 1265489165
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
595GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1265489165
-
- CODING SYSTEM: VASTANUM
- ID: 595GC
-
- CODING SYSTEM: CLIA
- ID: 39D1042986
|
