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LEBANON AVENUE MEDICAL CENTER PC NPI 1164767117


NPI Information

NPI: 1164767117
Provider Name: LEBANON AVENUE MEDICAL CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6522 LEBANON AVE
PHILADELPHIA, PA
ZIP 19151
Phone: (215) 473-2444
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LEBANON AVENUE MEDICAL CENTER PC is a chiropractor in Philadelphia, PA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LEBANON AVENUE MEDICAL CENTER PC NPI is 1164767117. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6522 LEBANON AVE
PHILADELPHIA, PA
ZIP 19151-325
Phone: (215) 473-2444
Fax: (215) 729-6046

The provider's authorized official is Darren Michael Lugiano .
The authorized official title is President and has the following contact phone number (215) 465-4465.

The enumeration date for this NPI number is 12/3/2012 and was last updated on 11/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2111N00000XChiropractorDC007780LYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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