Lloyd M.Wolf III D.O. Internal Medicine, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS012325 Issued in PA

Legal business name

LLOYD M.WOLF III D.O. INTERNAL MEDICINE, PC

Practice address

2 Meridian Blvd
Wyomissing, PA 19610-3202

Phone

(610) 743-3139

Fax

(610) 743-3143

NPI assigned

Mar 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lloyd M Wolf III, DO

Title

President

Phone

(610) 743-3139

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1164694485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERIDIAN BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103202",
            "telephone_number": "610-743-3139",
            "fax_number": "610-743-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MERIDIAN BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103202",
            "telephone_number": "610-743-3139",
            "fax_number": "610-743-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD M.WOLF III D.O. INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-743-3139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS012325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Bruce Lincow, D.O.
• Scott C Lindsay, DO
• Christina Marie Lippe, MD
• Justine A Liptock, L.C.S.W., C.A.C.
• Joselyn A Little
• Carly Anne Lockowitz, LCSW
• Codi Lynne Logsdon, CRNP
• Antoinette Long, LMT
• Nicora J. Long, DDS
• Rondelle Longenecker, C.R.N.P.

• Primary Care Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.