| Lvpg Family Medicine - Kutztown | |
|
333 Normal Ave Suite 201 Kutztown PA 19530-1640 | |
| (610) 683-8363 | |
| (610) 683-3532 |
| Full Name | Lvpg Family Medicine - Kutztown |
|---|---|
| Speciality | Family Medicine |
| Location | 333 Normal Ave, Kutztown, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (VP & CEO) |
| Authorized Official Contact | 4848623333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvpg Family Medicine - Kutztown Po Box 783311 Philadelphia PA 19178-3311 Ph: () - | Lvpg Family Medicine - Kutztown 333 Normal Ave Suite 201 Kutztown PA 19530-1640 Ph: (610) 683-8363 |
| NPI Number | 1154493526 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154493526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15065 Kutztown Rd, Kutztown, PA 19530 Phone: 484-526-4000 Fax: 833-213-6428 |