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NPI Code Detail

MEDICARE: LUCY CROSTHWAIT

MEDICARE: LUCY CROSTHWAIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseRN876406PA

General Provider Information

NPI Number : 1306795547
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCY CROSTHWAIT
Provider Business Mailing Address
First Line : 3641 LANCASTER AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3641 LANCASTER AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2603
Country : US
Telephone Number : 267-300-5373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ LUCY CROSTHWAIT ” Practice Location

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