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LYCOMING PHYSICIAN SERVICES,INC.
NPI 1972876472
Family Medicine in Shamokin Dam, PA

Active since February 14, 2012
3040 N SUSQUEHANNA TRL, SHAMOKIN DAM, PA 17876(570) 743-1703(570) 743-1728 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lycoming Physician Services,inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYCOMING PHYSICIAN SERVICES,INC. (NPI 1972876472) is a healthcare organization registered as a family medicine in Shamokin Dam, Pennsylvania and active in the NPI registry since February 2012. The organization lists Albert John Lagerman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972876472
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLYCOMING PHYSICIAN SERVICES,INC.
Location Address3040 N SUSQUEHANNA TRLShamokin Dam, PA 17876-9113
Mailing Address3040 N Susquehanna Trl, P.o. Box 129Shamokin Dam, PA 17876-9113 · (717) 743-1703 · Fax (570) 743-1728
Phone(570) 743-1703
Fax(570) 743-1728
Organization SubpartNo
Authorized OfficialAlbert John LagermanAdministrator · (570) 743-1703
Enumeration DateFebruary 14, 2012
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1972876472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3040 N SUSQUEHANNA TRL, Shamokin Dam, PA 17876
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Other Identifiers 1

Other240488YHMKPA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lycoming Physician Services,inc.'s NPI number?

The NPI number for Lycoming Physician Services,inc. is 1972876472. It was assigned to this organization in the NPPES registry on February 14, 2012.

Where is Lycoming Physician Services,inc. located?

Lycoming Physician Services,inc. is located at 3040 N Susquehanna Trl, Shamokin Dam, PA 17876. The listed phone number is (570) 743-1703.

What is Lycoming Physician Services,inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lycoming Physician Services,inc. was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.