| Panther Valley Family Practice Pc | |
|
134 W Ridge St Lansford PA 18232-1310 | |
| (570) 645-3133 | |
| Not Available |
| Full Name | Panther Valley Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 134 W Ridge St, Lansford, Pennsylvania |
| Authorized Official Name and Position | Joseph Francis Mussoline (PRESIDENT) |
| Authorized Official Contact | 5706453133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panther Valley Family Practice Pc 134 W Ridge St Lansford PA 18232-1310 Ph: (570) 645-3133 | Panther Valley Family Practice Pc 134 W Ridge St Lansford PA 18232-1310 Ph: (570) 645-3133 |
| NPI Number | 1346354438 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346354438 | NPI | - | NPPES |
| 0017900740001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005238L (Pennsylvania) | Primary |
St. Luke's Miners Health Center Lansford Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Patterson St, Suite 201, Lansford, PA 18232 Phone: 272-639-5020 | |
St Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 W Ridge St, Lansford, PA 18232 Phone: 570-645-3133 | |
St. Luke's Miners Health Center Lansford Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W Patterson St, Suite 201, Lansford, PA 18232 Phone: 272-639-5020 Fax: 272-639-5017 |