Lycoming Physician Services,inc.
NPI #1972876472 in Shamokin Dam, Pennsylvania
Provider Information
- NPI Number
- 1972876472
- Entity Type
- Organization
- Organization Name
- Lycoming Physician Services,inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 14, 2012
- Last Updated
- Feb 1, 2013
Practice Location
- Address
- 3040 N SUSQUEHANNA TRL
- City
- Shamokin Dam
- State
- Pennsylvania
- ZIP Code
- 17876-9113
- Phone
- (570) 743-1703
Authorized Official
- Name
- ALBERT JOHN LAGERMAN JR., MBA
- Title
- ADMINISTRATOR
- Phone
- (570) 743-1703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Physician Assistant |
| Nurse Practitioner |
| Family Medicine |
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