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LEBANON WELLNESS
NPI 1063374601
Internal Medicine in Lititz, PA

Active since December 02, 2025CLIA 39D2333204 · Waiver
245 BLOOMFIELD DR STE 210, LITITZ, PA 17543(717) 297-7900(717) 276-7323 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2026, Dec 2, 2025 (2 updates tracked since 2025).

About Lebanon Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEBANON WELLNESS (NPI 1063374601) is a healthcare organization registered as an internal medicine in Lititz, Pennsylvania and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Shavkat R Ruziev, President, as its authorized official.

NPPES Registry Identity

NPI1063374601
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEBANON WELLNESS
Location Address245 BLOOMFIELD DR STE 210Lititz, PA 17543-7788
Mailing Address974 Isabel DrLebanon, PA 17042-7482 · (717) 297-7900 · Fax (717) 276-7323
Phone(717) 297-7900
Fax(717) 276-7323
Organization SubpartYes
Authorized OfficialShavkat R RuzievPresident · (717) 297-7900
Enumeration DateDecember 2, 2025
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1063374601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
245 BLOOMFIELD DR STE 210, Lititz, PA 17543
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2333204

Lebanon Wellness · Lebanon, PA
Active · expires Oct 30, 2027
CLIA Number39D2333204
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorDr. Shavkat R. Ruziev
Laboratory Phone(717) 297-7900
Laboratory LocationLebanon Wellness974 Isabel Dr, Lebanon, PA 17042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lebanon Wellness's NPI number?

The NPI number for Lebanon Wellness is 1063374601. It was assigned to this organization in the NPPES registry on December 2, 2025.

Where is Lebanon Wellness located?

Lebanon Wellness is located at 245 Bloomfield Dr Ste 210, Lititz, PA 17543. The listed phone number is (717) 297-7900.

What is Lebanon Wellness's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lebanon Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2333204) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lebanon Wellness was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.