Organization
LYCOMING INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARSHA R PATEL (OFFICE MANAGER)
(570) 398-1800
Entity
Organization
Contact information
Practice address
1 OUTLET LN STE 380, LOCK HAVEN, PA 17745-7814
(570) 398-1800
(570) 398-3320
Mailing address
1 OUTLET LN STE 380, LOCK HAVEN, PA 17745-7814
(570) 398-1800
(570) 398-3320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016518020003
—
PA
Enumeration date
03/08/2006
Last updated
03/10/2022
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