National Provider Identifier Database

LANCASTER ONE MEDICAL PA
Primary Care


Contact Information

LANCASTER ONE MEDICAL PA
539 HWY 9 BYPASS E
LANCASTER, SC29720
Phone: 803-286-5700
Fax: 803-285-6119
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for LANCASTER ONE MEDICAL PA

NPI Number 1174620520
Legal business name
LBN
LANCASTER ONE MEDICAL PA
Authorized official XIAOLU DONG - (OWNER PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 11/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 8904
  • SC Medicaid: 089040
  • SC Medicaid: CH1486
  • SC Medicaid: CH2095

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LANCASTER ONE MEDICAL PA

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