MEDICARE: DR. LUCY HORNSTEIN 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
1	207Q00000X	Family Medicine Physician	MD036607E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538132451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCY HORNSTEIN MD

Provider Business Mailing Address
First Line	:	551 SARATOGA RD
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-1584
Country	:	US
Telephone Number	:	610-983-9299
Fax Number	:

Provider Business Practice Location Address
First Line	:	1288 VALLEY FORGE RD
Second Line	:	SUITE 83
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-2687
Country	:	US
Telephone Number	:	610-983-9299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	05/21/2015

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