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

Wellspan Medical Group

Organization Family Medicine Physician · NPI 1619427101

Wellspan Medical Group is a Family Medicine Physician in Lancaster, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone: (717) 721-8205
Fax: (717) 721-8251
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1619427101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Moon — Supervisor-Verification Services · (717) 851-1405
Other names Wellspan Family Medicine - Granite Run
NPI enumeratedOctober 7, 2016
Last updated in NPPESOctober 7, 2016
Mailing address3421 Concord Rd, York, PA 17402-9001

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