Full Name | |
---|---|
Speciality | Pediatrics |
Location | 503 Oak St, Lebanon, Pennsylvania |
Authorized Official Name and Position | Kathleen S Martin (BILLLING COORDINATOR) |
Authorized Official Contact | 7172724451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
P.o. Box 300 4th & Willow Street Lebanon PA 17042 Ph: (717) 272-4451 | 503 Oak St Lebanon PA 17042-6246 Ph: (717) 272-7695 |
NPI Number | 1841322278 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841322278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Agape Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Cumberland St, Lebanon, PA 17042 Phone: 717-270-0335 Fax: 717-270-9740 | |
Lebanon Family Health Service Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Cumberland St, Lebanon, PA 17042 Phone: 717-273-6741 Fax: 717-273-6337 |