| Lutheran Medical Center | |
|
812 54th St Brooklyn NY 11220-3209 | |
| (718) 686-2680 | |
| (718) 871-0969 |
| Full Name | Lutheran Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 812 54th St, Brooklyn, New York |
| Authorized Official Name and Position | Paul Lee (M.D/ATTENDING PHYSICIAN) |
| Authorized Official Contact | 7186862680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Medical Center 812 54th St Brooklyn NY 11220-3209 Ph: () - | Lutheran Medical Center 812 54th St Brooklyn NY 11220-3209 Ph: (718) 686-2680 |
| NPI Number | 1619912052 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619912052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 129364 (New York) | Primary |
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