| NPI | 1558707646 |
|---|---|
| Doing Business As | LVPG FAMILY MEDICINE - FOGELSVILLE |
| Entity Type | Organization |
| Authorized Contact | JAMES DEMOPOLOUS VP, CFO 484-884-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-09-26 |