Healthcare Provider Details

I. General information

NPI: 1982288379
Provider Name (Legal Business Name): ALERE FAMILY HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 HARTMAN BRIDGE RD
RONKS PA
17572-9508
US

IV. Provider business mailing address

334 HARTMAN BRIDGE RD
RONKS PA
17572-9508
US

V. Phone/Fax

Practice location:
  • Phone: 717-925-8469
  • Fax: 717-983-4722
Mailing address:
  • Phone: 717-925-8469
  • Fax: 717-983-4722

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. CHRIS LUPOLD
Title or Position: OWNER
Credential: MD
Phone: 717-925-8469