Irene Lucas M.d.

NPI 1245433887 - Family Medicine - 207Q00000X

NPI Details
NPI 1245433887
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IRENE IRENE
Position DOCTOR
Phone (570) 474-6562
Fax (570) 474-0796
Practice Location
62 N MOUNTAIN BLVD
MOUNTAIN TOP PA, 18707-1117, US
Phone (570) 474-6562
Fax (570) 474-0796
Business Location
62 N MOUNTAIN BLVD
MOUNTAIN TOP PA, 18707-1117, US
Phone (570) 474-6562
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MD033970E
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According to our database, Irene Lucas M.d. NPI is 1245433887, taxonomy code is 207Q00000X and license number is MD033970E, license state is located at Pennsylvania. Irene Lucas M.d. physically located at 62 N Mountain Blvd, Mountain Top PA, 18707-1117. NPI Number 1033115704 has the healthcare provider type.

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1245433887 NPI number is provided on an as is basis without warranty of any kind. 1245433887 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Lucas M.d. are for informational purposes only.