| Stanley Lobitz Md Llc | |
|
155 E Bennett St Kingston PA 18704-4940 | |
| (570) 283-5611 | |
| (570) 283-5613 |
| Full Name | Stanley Lobitz Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 155 E Bennett St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Stanley Lobitz (OWNER) |
| Authorized Official Contact | 5702835611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Lobitz Md Llc 155 E Bennett St Kingston PA 18704-4940 Ph: (570) 283-5611 | Stanley Lobitz Md Llc 155 E Bennett St Kingston PA 18704-4940 Ph: (570) 283-5611 |
| NPI Number | 1043670961 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 7315236254 |
|---|---|
| Medicare Enrollment ID | O20160517001739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043670961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
| Provider Name | Stanley Lobitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760457121 PECOS PAC ID: 0648370049 Enrollment ID: I20070714000063 |
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