St. Luke's Physician Group Inc | |
770 State Rd Lehighton PA 18235-2857 | |
(610) 377-9020 | |
(610) 377-9784 |
Full Name | St. Luke's Physician Group Inc |
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Speciality | Family Medicine |
Location | 770 State Rd, Lehighton, Pennsylvania |
Authorized Official Name and Position | Joseph Minahan (PRESIDENT) |
Authorized Official Contact | 4845263383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Luke's Physician Group Inc 770 State Rd Lehighton PA 18235-2857 Ph: (610) 377-9020 | St. Luke's Physician Group Inc 770 State Rd Lehighton PA 18235-2857 Ph: (610) 377-9020 |
NPI Number | 1194196402 |
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Provider Enumeration Date | 10/13/2015 |
Last Update Date | 04/23/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194196402 | NPI | - | NPPES |
686024 | Other | PA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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