Organization · Type 2 NPI

Lyceum Longevity Center PLLC

Specialist · Philadelphia, PA

NPI number 1831666585 Active

Practice location

6062 Ridge Ave
Philadelphia, PA 19128-1647

Call (215) 508-5555 Map

Fax (215) 508-5555

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Specialist Primary 174400000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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About NPI 1831666585

Lyceum Longevity Center PLLC's National Provider Identifier is 1831666585, issued on Oct 31, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 4, 2019.