Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lebanon Wellness

Organization Internal Medicine Physician · NPI 1063374601

Lebanon Wellness is an Internal Medicine Physician in Lititz, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

245 Bloomfield Dr Ste 210
Lititz, PA 17543-7788
Phone: (717) 297-7900
Fax: (717) 276-7323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063374601
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLebanon Wellness
Authorized official Shavkat Ruziev — President · (717) 297-7900
NPI enumeratedDecember 2, 2025
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address974 Isabel Dr, Lebanon, PA 17042-7482

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