Dlp Conemaugh Physician Practices LLC
Family Medicine in Cresson, PA. Organization (NPI-2).
NPI number1932515905
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1932515905
- Entity type
- Organization (NPI-2)
- Legal business name
- Dlp Conemaugh Physician Practices LLC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2014
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Conemaugh Physician Group Cresson (Doing Business As)
Practice location
815 2nd StCresson, PA 16630-1141
Phone 814-886-2911 · Fax 814-886-8929
Mailing address
815 2nd StCresson, PA 16630-1141
Phone 814-886-2911 · Fax 814-886-8929
Other practice locations
171 Lovell Ave
Ebensburg, PA 15931-1855
Ebensburg, PA 15931-1855
Phone 814-886-2911 · Fax 814-866-8929
Authorized official
Charlotte Lawrence
Secretary
6159207000
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