Provider Demographics
NPI:1497717425
Name:TURGEON, MARC LUCIEN
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:LUCIEN
Last Name:TURGEON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3434
Mailing Address - Country:US
Mailing Address - Phone:717-291-8570
Mailing Address - Fax:717-291-8065
Practice Address - Street 1:250 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17604-3434
Practice Address - Country:US
Practice Address - Phone:717-291-8570
Practice Address - Fax:717-291-8065
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S0120692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019398180001Medicaid
I05328Medicare UPIN
PA1019398180001Medicaid