Lycoming-Clinton Joinder Board
NPI #1275739955 in Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1275739955
- Entity Type
- Organization
- Organization Name
- Lycoming-Clinton Joinder Board
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 200 EAST ST
- City
- Williamsport
- State
- Pennsylvania
- ZIP Code
- 17701-6613
- Phone
- (570) 326-0924
Authorized Official
- Name
- ELLEN DIDOMENICO
- Title
- HUMAN SERVICES DIRECTOR
- Phone
- (570) 323-6467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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