Lycoming Physical Medicine
NPI #1780062877 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1780062877
- Entity Type
- Organization
- Organization Name
- Lycoming Physical Medicine
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 11, 2015
- Last Updated
- May 12, 2015
Practice Location
- Address
- 250 PIERCE ST
- Address 2
- SUITE 103
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5149
- Phone
- (570) 916-4897
Authorized Official
- Name
- DR. MARK ALLEN HAMPTON, D.C.
- Title
- CEO
- Phone
- (570) 326-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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