Provider Demographics
NPI:1275088973
Name:TELEPSYCHIATRY, LLC
Entity Type:Organization
Organization Name:TELEPSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LULO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-718-5786
Mailing Address - Street 1:2200 S GEORGE ST
Mailing Address - Street 2:PLAZA LEVEL A1
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4594
Mailing Address - Country:US
Mailing Address - Phone:717-718-5786
Mailing Address - Fax:
Practice Address - Street 1:2200 S GEORGE ST
Practice Address - Street 2:PLAZA LEVEL A1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4594
Practice Address - Country:US
Practice Address - Phone:717-718-5786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health