Organization
PREFERRED PRIMARY CARE PHYSICIANS
Active
Other names
PPCP Jacob Murphy Lane
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUTZ (EXECUTIVE DIRECTOR)
(412) 531-2902
Entity
Organization
Contact information
Practice address
202 JACOB MURPHY LN, SUITE 201, UNIONTOWN, PA 15401-2686
(724) 437-1109
Mailing address
202 JACOB MURPHY LN, SUITE 201, UNIONTOWN, PA 15401-2686
(724) 437-1109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011129500004
—
PA
05
—
0011227500003
—
PA
05
—
1014646700001
—
PA
Enumeration date
01/16/2007
Last updated
08/22/2020
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