| NPI | 1740836808 |
|---|---|
| Doing Business As | GMG LYCOMING FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-01-08 |