| St. Luke's Physician Group, Inc. | |
|
575 S 9th St Ste 1 Lehighton PA 18235-2517 | |
| (570) 645-1990 | |
| (570) 645-1995 |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 575 S 9th St Ste 1, Lehighton, Pennsylvania |
| Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
| Authorized Official Contact | 6109544991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc. 575 S 9th St Ste 1 Lehighton PA 18235-2517 Ph: (570) 645-1990 | St. Luke's Physician Group, Inc. 575 S 9th St Ste 1 Lehighton PA 18235-2517 Ph: (570) 645-1990 |
| NPI Number | 1376640805 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376640805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
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St. Luke's Lehighton Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1254 Interchange Rd, Lehighton, PA 18235 Phone: 610-377-9020 Fax: 610-377-9784 | |
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