Individual
DR. JEFFREY M LENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-6747
(814) 863-8464
Mailing address
308 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-6747
(814) 863-8464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD027131E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229429
ANTHEM BC BS
KY
01
—
01-01-301
UNITED HEALTH CARE
KY
01
—
1180896
CHA
KY
05
—
64010671
—
KY
01
—
7058141
AETNA
KY
01
—
K097010
MEDICARE PTAN
KY
Enumeration date
08/19/2006
Last updated
07/10/2020
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