Organization
LYCOMING PHYSICAL MEDICINE
Active
Other names
Lycoming Physical Medicine Lemoyne DME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN HAMPTON D.C. (CEO)
(570) 326-0400
Entity
Organization
Contact information
Practice address
2 LEMOYNE DR, STE 203, LEMOYNE, PA 17043-1222
(717) 763-1222
Mailing address
1111 E 3RD ST, WILLIAMSPORT, PA 17701-5411
(570) 326-0400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD045007L
PA
Other
Enumeration date
05/07/2015
Last updated
05/08/2015
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