MEDICARE: DR. JOSEPH J LEXON 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	207P00000X	Emergency Medicine Physician	MD051147L	PA

General Provider Information

NPI Number	:	1629024278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH J LEXON MD

Provider Business Mailing Address
First Line	:	215 E WATER ST
Second Line	:	MVH ED
City	:	MUNCY
State	:	PA
Zip	:	17756-8828
Country	:	US
Telephone Number	:	570-546-4201
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 E WATER ST
Second Line	:	MVH ED
City	:	MUNCY
State	:	PA
Zip	:	17756-8828
Country	:	US
Telephone Number	:	570-546-4201
Fax Number	:	570-546-4038

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/19/2014

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Directions to “ DR. JOSEPH J LEXON MD” Practice Location

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