Lycoming Physician Services,Inc.
LBN: Lycoming Physician Services,Inc.
Lycoming Physician Services,Inc. is an health care organization with primary practice located at 3040 N Susquehanna Trl , Shamokin Dam PA 17876-9113. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lycoming Physician Services,Inc. can be contacted via phone (570) 743-1703, or through Lagerman, Albert John via phone (570) 743-1703.
Contact Information
Primary practice address
3040 N Susquehanna Trl
Shamokin Dam PA 17876-9113
Phone: (570) 743-1703
Fax: (570) 743-1728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1972876472 |
|---|---|
| LBN Legal business name | Lycoming Physician Services,Inc. |
| DBA Doing business as | |
| Authorized official | Lagerman, Albert John MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2012 |
| Last updated | Feb 1st, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972876472 | NPPES |
| Pennsylvania | Other | 240488YHMK | MEDICARE PTAN |
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