Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lycoming Physician Services, Inc

Organization Family Medicine Physician · NPI 1972876472

Lycoming Physician Services, Inc is a Family Medicine Physician in Shamokin Dam, Pennsylvania. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3040 N Susquehanna Trl
Shamokin Dam, PA 17876-9113
Phone: (570) 743-1703
Fax: (570) 743-1728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1972876472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Lagerman — Administrator · (570) 743-1703
NPI enumeratedFebruary 14, 2012
Last updated in NPPESFebruary 1, 2013
Mailing address3040 N Susquehanna Trl, P.O. Box 129, Shamokin Dam, PA 17876-9113

Other providers in Shamokin Dam