| Penn Medicine Lghp Family Medicine Sycamore Square | |
|
99 Masonic Dr Suite 101 Elizabethtown PA 17022-2547 | |
| (717) 689-4243 | |
| (717) 689-1950 |
| Full Name | Penn Medicine Lghp Family Medicine Sycamore Square |
|---|---|
| Speciality | Family Medicine |
| Location | 99 Masonic Dr, Elizabethtown, Pennsylvania |
| Authorized Official Name and Position | Denise A Kennedy (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Family Medicine Sycamore Square 99 Masonic Dr Suite 101 Elizabethtown PA 17022-2547 Ph: (717) 689-4243 | Penn Medicine Lghp Family Medicine Sycamore Square 99 Masonic Dr Suite 101 Elizabethtown PA 17022-2547 Ph: (717) 689-4243 |
| NPI Number | 1649517236 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649517236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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