Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD019490E | PA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD019490E | PA |
NPI | 1699736439 |
---|---|
Provider Name | Joseph W Lahr |
First Address | Harrisburg, PA 17104-1621 |
Second Address | Middletown, PA 17057-2158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 01/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15977801 | (05) | PA |
4127749 | AETNA (01) | |
865318 | BLUE SHIELD (01) | |
A47804 | (02) | PA |