Individual
MRS. LUCILLE I KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD022974E
PA
207R00000X
Internal Medicine Physician
Primary
MD154409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008128290009
—
PA
01
—
110218192
RR MEDICARE
—
01
—
153454
BLUE SHIELD
PA
01
—
153454
HIGH MARK
—
01
—
205080
UPMC
—
05
—
218105
—
OR
Enumeration date
11/30/2006
Last updated
09/28/2011
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