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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYCEUM LONGEVITY CENTER PLLC

Active Organization

LYCEUM LONGEVITY CENTER PLLC is a Specialist organization located in PHILADELPHIA, Pennsylvania. NPI 1831666585 is currently active in the NPPES registry. Verify at CMS.

Specialist · PHILADELPHIA, PA

Registration Details

NPI Number
1831666585
Provider Type
Organization
NPI Issued
Oct 31, 2018 (7.81241915232 yrs)
Last Updated
Oct 4, 2019

Practice Information

Address
6062 RIDGE AVE
PHILADELPHIA, PA, 191281647
Browse PA providers · Browse ZIP 19128
Phone
2155085555
Fax
2155085555
Primary Specialty
Specialist
174400000X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.