| St. Luke's Physician Group, Inc | |
|
2599 State Route 903 Albrightsville PA 18210 | |
| (570) 645-1945 | |
| (570) 645-1946 |
| Full Name | St. Luke's Physician Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2599 State Route 903, Albrightsville, Pennsylvania |
| Authorized Official Name and Position | Dean W. Evans (PRESIDENT) |
| Authorized Official Contact | 4845264991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc 2599 State Route 903 Albrightsville PA 18210-3756 Ph: (570) 645-1945 | St. Luke's Physician Group, Inc 2599 State Route 903 Albrightsville PA 18210 Ph: (570) 645-1945 |
| NPI Number | 1639554942 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639554942 | NPI | - | NPPES |
| 686024 | Other | PA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Penn Kidder Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2588 State Route 903, Suite 2, Albrightsville, PA 18210 Phone: 570-722-2125 | |
Lvpg Family Medicine- Albrightsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2588 State Route 903, Albrightsville, PA 18210 Phone: 570-722-2125 Fax: 570-215-4338 |