Organization
LPP OF PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R KELLY (CHAIRMAN & CEO)
(615) 554-6885
Entity
Organization
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 483-9900
Mailing address
211 COMMERCE ST STE 800, NASHVILLE, TN 37201-1817
(800) 577-3886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582229
MEDICARE
PA
Enumeration date
06/14/2017
Last updated
07/21/2022
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