Individual
TRACI LOUISE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9314
(570) 522-4110
(570) 768-3911
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD425385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012034590001
—
PA
01
—
1671113
BLUE SHIELD
PA
01
—
232809429
TRICARE
PA
01
—
321845
HEALTH AMERICA
PA
01
—
50044509
CAPITAL BLUE CROSS
PA
01
—
P00190420
RAILROAD MEDICARE
PA
Enumeration date
07/21/2006
Last updated
05/24/2022
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