Individual
ELIZABETH KLUCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PLAZA DR, MONTOURSVILLE, PA 17754-2448
(570) 601-8574
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS016756
PA
Other
Enumeration date
06/20/2012
Last updated
05/24/2021
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