Organization
LONGEVITY HEALTHCARE LLC
Active
Organization
LONGEVITY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HANNA NP (OWNER/PROVIDER)
(570) 436-8591
Entity
Organization
Contact information
Practice address
111 ALICE LN, MOUNT POCONO, PA 18344-7100
(570) 972-7879
(570) 867-9725
Mailing address
111 ALICE LN, MOUNT POCONO, PA 18344-7100
(570) 972-7879
(570) 867-9725
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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