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

Penn Medicine Lghp Geriatrics

Organization Federally Qualified Health Center (FQHC) · NPI 1306213020

Penn Medicine Lghp Geriatrics is a Federally Qualified Health Center (FQHC) in Willow Street, Pennsylvania. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

212 Willow Lakes Dr Ste 101
Willow Street, PA 17584
Phone: (717) 464-0286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1306213020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Brown — Provider Coordinator · (717) 544-1921
NPI enumeratedAugust 28, 2015
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address212 Willow Valley Lakes Dr Ste 101, Willow Street, PA 17584-9668