Provider Demographics
NPI:1629024278
Name:LEXON, JOSEPH J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:LEXON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 E WATER ST
Mailing Address - Street 2:MVH ED
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-8828
Mailing Address - Country:US
Mailing Address - Phone:570-546-4201
Mailing Address - Fax:
Practice Address - Street 1:215 E WATER ST
Practice Address - Street 2:MVH ED
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-8828
Practice Address - Country:US
Practice Address - Phone:570-546-4201
Practice Address - Fax:570-546-4038
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051147L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF90444Medicare UPIN