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Lincy Chacko
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1487353405

Lincy Chacko is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Lincy Chacko practices in Philadelphia, PA. The NPI Number for Lincy Chacko is 1487353405 and holds a License No. SP025858 (Pennsylvania).

The current practice location address for Lincy Chacko is 2237 Conwell Ave, Philadelphia, PA and can be reached out via phone at 215-870-8508.

Location: 2237 Conwell Ave, Philadelphia, PA, 19115-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487353405
Provider Name
Lincy Chacko
Credential
Provider Entity Type
Individual
Gender
Female
Address
2237 Conwell Ave, Philadelphia, PA, 19115-2301
Phone Number
215-870-8508
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2237 Conwell Ave
City
Philadelphia
State
Pennsylvania
Zip
19115-2301
Phone Number
215-870-8508
Fax Number
person
Provider Business Mailing Address Details
Address
2237 Conwell Ave
City
Philadelphia
State
Pennsylvania
Zip
19115-2301
Phone Number
215-870-8508
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP025858 (Pennsylvania)
Definition
Definition to come...
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