A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1457138182 |
| LBN Legal business name | EVERNORTH CARE PROVIDERS - DELAWARE PA |
| Authorized official | JACQUELINE LAKES - (SENIOR PARALEGAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/14/2023 |
| Last updated | 07/14/2025 - About 11 months ago |
| Identifiers | n/a |
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