# TRICOUNTY PHYSICIAN HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710221346
- **Authorized official:** DR. KEVIN E. LUKENDA D.O. (D.O.)
- **Authorized official phone:** (908) 925-9309

## Contact information

- **Practice address:** 716 NEWMAN SPRINGS RD, BOX 231, LINCROFT, NJ 07738-1523
- **Practice address phone:** (908) 925-9309
- **Practice address fax:** (908) 925-7910
- **Mailing address:** 716 NEWMAN SPRINGS RD, BOX 231, LINCROFT, NJ 07738-1523
- **Mailing address phone:** (908) 925-9309
- **Mailing address fax:** (908) 925-7910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 25MBO5511300 | NJ | Yes |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 11/20/2012