| Family Practice Center, Pc | |
|
112 E Church St Lock Haven PA 17745 | |
| (570) 293-4933 | |
| Not Available |
| Full Name | Family Practice Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 112 E Church St, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Elijah Hanna (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 5702934933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center, Pc 112 E Church St Lock Haven PA 17745-2008 Ph: (570) 293-4933 | Family Practice Center, Pc 112 E Church St Lock Haven PA 17745 Ph: (570) 293-4933 |
| NPI Number | 1689661290 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689661290 | NPI | - | NPPES |
| 000657230 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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