| Lycoming Physician Services,inc. | |
|
3040 N Susquehanna Trl Shamokin Dam PA 17876-9113 | |
| (570) 743-1703 | |
| (570) 743-1728 |
| Full Name | Lycoming Physician Services,inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3040 N Susquehanna Trl, Shamokin Dam, Pennsylvania |
| Authorized Official Name and Position | Albert John Lagerman (ADMINISTRATOR) |
| Authorized Official Contact | 5707431703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lycoming Physician Services,inc. 3040 N Susquehanna Trl P.o. Box 129 Shamokin Dam PA 17876-9113 Ph: (717) 743-1703 | Lycoming Physician Services,inc. 3040 N Susquehanna Trl Shamokin Dam PA 17876-9113 Ph: (570) 743-1703 |
| NPI Number | 1972876472 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972876472 | NPI | - | NPPES |
| 240488YHMK | Other | PA | MEDICARE PTAN |
Shamokin Dam Family Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Baldwin Blvd, Shamokin Dam, PA 17876 Phone: 570-743-6191 Fax: 570-743-6191 | |
Drs Munir & Samad Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Baldwin Blvd, Shamokin Dam, PA 17876 Phone: 570-743-7657 Fax: 570-743-0047 | |
Shamokin Dam Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3166 N Old Trail, Shamokin Dam, PA 17876 Phone: 570-743-4333 Fax: 570-743-6012 | |
Basant K. Mittal, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3032 N. Susquehanna Trail, Routes 11 And 15, Shamokin Dam, PA 17876 Phone: 570-743-5020 Fax: 570-743-4505 |