Ann Marie Lago, D.o. Pc | |
27 Winding Brook Dr Sinking Spring PA 19608-9615 | |
(484) 919-1078 | |
Not Available |
Full Name | Ann Marie Lago, D.o. Pc |
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Speciality | Family Medicine |
Location | 27 Winding Brook Dr, Sinking Spring, Pennsylvania |
Authorized Official Name and Position | Ann Marie Lago (PRESIDENT) |
Authorized Official Contact | 4849191078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ann Marie Lago, D.o. Pc 27 Winding Brook Dr Sinking Spring PA 19608-9615 Ph: (484) 919-1078 | Ann Marie Lago, D.o. Pc 27 Winding Brook Dr Sinking Spring PA 19608-9615 Ph: (484) 919-1078 |
NPI Number | 1104095728 |
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Provider Enumeration Date | 02/28/2008 |
Last Update Date | 02/28/2008 |
Medicare PECOS PAC ID | 1254418460 |
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Medicare Enrollment ID | O20080411000079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104095728 | NPI | - | NPPES |
1013005500001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS012806 (Pennsylvania) | Primary |
Provider Name | Ann Marie Langham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083608236 PECOS PAC ID: 8224083449 Enrollment ID: I20050321000398 |
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