| NPI | 1649517236 |
|---|---|
| Doing Business As | PENN MEDICINE LGHP FAMILY MEDICINE SYCAMORE SQUARE |
| Entity Type | Organization |
| Authorized Contact | DENISE A KENNEDY VP Financial Services 717-544-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2020-11-16 |