| Lycoming Physical Medicine Pc | |
|
1111 E 3rd St Williamsport PA 17701-5411 | |
| (570) 916-4897 | |
| (570) 322-8100 |
| Full Name | Lycoming Physical Medicine Pc |
|---|---|
| Speciality | Chiropractor |
| Location | 1111 E 3rd St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Mark Allen Hampton (CEO) |
| Authorized Official Contact | 5709164897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lycoming Physical Medicine Pc 1111 E 3rd St Williamsport PA 17701-5411 Ph: (570) 916-4897 | Lycoming Physical Medicine Pc 1111 E 3rd St Williamsport PA 17701-5411 Ph: (570) 916-4897 |
| NPI Number | 1891118667 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118667 | NPI | - | NPPES |
| DC004453L | Other | PA | LICENSE |
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