Individual
MR. BRUCE KEVIN LUNDRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2200 LINCOLN DR, WILLIAMSPORT, PA 17701-2814
(570) 323-1020
Mailing address
2200 LINCOLN DR, WILLIAMSPORT, PA 17701-2814
(570) 323-1020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW124425
PA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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