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Individual

DR. GREGORY T LYON-LOFTUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D. M.D.

Contact information

Practice address
6155 ANTHONY HIGHWAY, WAYNESBORO, PA 17268-9718
(717) 749-3181
(717) 749-3191
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 262-4217

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD030928E
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD030928E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000970434 0003
PA
01
098297
HIGHMARK BLUESHIELD
PA
01
1007307260034
MEDICAID GROUP #
PA
01
120420417
DEPT OF LABOR
PA
01
226900
UNISON
PA
01
25-1716306
SOUTH CENTRAL PREFERRED
PA
01
4601928
AETNA NON-HMO
PA
01
50074258
CAPITAL BLUECROSS
PA
01
715056
HEALTH AMERICA
PA
01
844639
AETNA HMO
PA
01
867633
MEDICARE GROUP #
PA
01
G920-0083/KDM4CU
CAREFIRST
PA
01
MD030928E
LICENSE
PA
01
P00468816
RAILROAD MEDICARE
PA
01
P008956
GATEWAY
PA
Enumeration date
05/03/2006
Last updated
03/07/2023
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