Provider Demographics
NPI:1407533078
Name:LUNG DISEASE FOUNDATION OF CENTRAL PA, INC
Entity Type:Organization
Organization Name:LUNG DISEASE FOUNDATION OF CENTRAL PA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZLUPKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-946-2846
Mailing Address - Street 1:800 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4722
Mailing Address - Country:US
Mailing Address - Phone:814-946-2846
Mailing Address - Fax:814-946-1273
Practice Address - Street 1:800 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4722
Practice Address - Country:US
Practice Address - Phone:814-946-2846
Practice Address - Fax:814-946-1273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty