NPI | 1437356441 |
---|---|
Doing Business As | ST. LUKE'S SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | THOMAS LICHTENWALNER Asst Vice President 610-954-4991 |
Organization Subpart ? | No |
Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
2083S0010X Preventive Medicine, Sports Medicine | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-08-22 |