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NPI Code Detail

MEDICARE: JOY HAZEL LUAT INCIONG MD

MEDICARE:   JOY HAZEL LUAT INCIONG  MD
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
1207L00000XAnesthesiology PhysicianLT000649PA
2207LP2900XPain Medicine (Anesthesiology) PhysicianLT000649PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LT000649OTHERPAMEDICAL LICENSE

General Provider Information

NPI Number : 1396996906
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY HAZEL LUAT INCIONG MD
Provider Business Mailing Address
First Line : PO BOX 858
Second Line :
City : HERSHEY
State : PA
Zip : 17033-0858
Country : US
Telephone Number : 800-233-4082
Fax Number :
Provider Business Practice Location Address
First Line : 500 UNIVERSITY DR
Second Line :
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 800-233-4082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 04/15/2026

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Directions to “ JOY HAZEL LUAT INCIONG MD” Practice Location

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