Stacey Evelyn Lokuta, | |
120 Burrus Blvd Ste 200, Brodheadsville, PA 18322-7812 | |
(570) 407-0762 | |
Not Available |
Full Name | Stacey Evelyn Lokuta |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 120 Burrus Blvd Ste 200, Brodheadsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699382101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC012046 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Stacey Evelyn Lokuta, 5350 Russell Ct Apt 10, Whitehall, PA 18052-2163 Ph: (570) 407-0762 | Stacey Evelyn Lokuta, 120 Burrus Blvd Ste 200, Brodheadsville, PA 18322-7812 Ph: (570) 407-0762 |
Mr. Dwight Daniel Evans, MA, M.DIV., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 Switzgabel Dr, Brodheadsville, PA 18322 Phone: 570-401-6378 | |
Anthony Onubogu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 Azalea Rd, Brodheadsville, PA 18322 Phone: 570-994-6817 | |
Lorraine Ann Cambridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Leslie Dr, Brodheadsville, PA 18322 Phone: 347-234-3554 | |
Mr. Fred Jacoby Jr., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1546 Route 209, Ste 106, Brodheadsville, PA 18322 Phone: 570-402-5088 | |
Matt De George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Edgewood Dr, Brodheadsville, PA 18322 Phone: 570-807-1607 | |
Mr. Michael Clarence Johnston, MHS, LPC, CA-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1843 Route 209, South Safeway Storage Complex, Brodheadsville, PA 18322 Phone: 570-426-0096 Fax: 570-992-1723 |