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 1639620164

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

In the registry since
2016

Practice location Address checks out

101 Fairview Cir
Lebanon, PA 17042-9581
Phone: (717) 279-7303
Fax: (717) 279-7471
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 number1639620164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Moon — Supervisor-Verification Services · (717) 851-1405
Other names Wellspan Family Medicine - West Cornwall
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 20, 2016
Mailing address3421 Concord Rd, York, PA 17402-9001

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