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Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Leesport Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
60 CHERRY ST STE 200, LEESPORT, PA 19533-8503
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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