Healthcare Provider Details

I. General information

NPI: 1316901820
Provider Name (Legal Business Name): TWO RIVERS FAMILY HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 S MARKET ST FIRST FLOOR RIGHT REAR
DUNCANNON PA
17020-1225
US

IV. Provider business mailing address

4 S MARKET ST FIRST FLOOR RIGHT REAR
DUNCANNON PA
17020-1225
US

V. Phone/Fax

Practice location:
  • Phone: 717-834-3900
  • Fax:
Mailing address:
  • Phone: 717-834-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LYNN ANNE CORNELIUS
Title or Position: PRESIDENT
Credential: D.O.
Phone: 717-834-3900