Lcdocs Llc | |
33 W 3rd St Williamsport PA 17701-6523 | |
(570) 429-3501 | |
Not Available |
Full Name | Lcdocs Llc |
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Speciality | Family Medicine |
Location | 33 W 3rd St, Williamsport, Pennsylvania |
Authorized Official Name and Position | Joseph Calabro (OWNER) |
Authorized Official Contact | 7322120060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lcdocs Llc 66 W Gilbert St Tinton Falls NJ 07701-4947 Ph: (732) 212-0060 | Lcdocs Llc 33 W 3rd St Williamsport PA 17701-6523 Ph: (570) 429-3501 |
NPI Number | 1407570534 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 07/08/2024 |
Medicare PECOS PAC ID | 6608245386 |
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Medicare Enrollment ID | O20221220001798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407570534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Frank M Mazzotta |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588618730 PECOS PAC ID: 1456392372 Enrollment ID: I20050520000022 |
Provider Name | Courtney A Linn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659712628 PECOS PAC ID: 4981839024 Enrollment ID: I20131028001071 |
Provider Name | Desiree Evon Tarr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922565845 PECOS PAC ID: 0143560474 Enrollment ID: I20190322000520 |
Provider Name | Helga Faust |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629696604 PECOS PAC ID: 7416372719 Enrollment ID: I20200804001188 |
Provider Name | Melissa Bazydlo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285356410 PECOS PAC ID: 3577930510 Enrollment ID: I20221104001230 |
Provider Name | Charlotte Dudek |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790494961 PECOS PAC ID: 6709250954 Enrollment ID: I20230330000118 |
Provider Name | Theresa Snyder |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760149694 PECOS PAC ID: 1355794710 Enrollment ID: I20240201001809 |
Provider Name | Kelly Jean Grotzinger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659605418 PECOS PAC ID: 7719026046 Enrollment ID: I20241024000607 |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |