MEDICARE: DR. LUKASZ CHEBES M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD472544	PA
2	208VP0000X	Pain Medicine Physician	MD472544	PA

General Provider Information

NPI Number	:	1689878878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKASZ CHEBES M.D.

Provider Business Mailing Address
First Line	:	1 HOSPITAL DR STE 306
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9350
Country	:	US
Telephone Number	:	570-522-4110
Fax Number	:	570-768-3911

Provider Business Practice Location Address
First Line	:	7095 WESTBRANCH HWY STE 1400
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-6865
Country	:	US
Telephone Number	:	570-768-3150
Fax Number	:	570-768-3738

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

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	12/02/2022

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