MEDICARE: LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT007700L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LA995541	OTHER	PA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1588828313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE

Provider Business Mailing Address
First Line	:	3120 WILMINGTON RD
Second Line	:	B
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1168
Country	:	US
Telephone Number	:	724-657-6852
Fax Number	:	724-657-8945

Provider Business Practice Location Address
First Line	:	3120 WILMINGTON RD
Second Line	:	B
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1168
Country	:	US
Telephone Number	:	724-657-6852
Fax Number	:	724-657-8945

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. ROBERT D MCGANN
Credential	:	D.O.
Telephone Number	:	724-658-5311

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	09/03/2008

Similar Medicare Providers

1710975222 — WILLIAM DEAN
Practice Location Address:

3120 WILMINGTON RD , SUITE B
NEW CASTLE, PA
16105-1168

Practice Phone: 724-657-6852
Practice Fax:

1093769010 — ROBERT MCGANN
Practice Location Address:

3120 WILMINGTON RD
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16105-1168

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Practice Fax:

1316951791 — MICHAEL E. DRESPLING DPM
Practice Location Address:

3100 WILMINGTON ROAD
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1770769135 — MICHAEL E. DRESPLING, DPM
Practice Location Address:

3100 WILMINGTON RD
NEW CASTLE, PA
16105-1168

Practice Phone: 724-658-5201
Practice Fax: 724-658-1159

1215203443 — DEVON CHARLTON
Practice Location Address:

3120 WILMINGTON RD
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16105-1168

Practice Phone: 724-658-5311
Practice Fax:

1043618911 — UPMC COMMUNITY MEDICINE INC
Practice Location Address:

3120 WILMINGTON RD
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16105-1168

Practice Phone: 724-658-5311
Practice Fax: 724-752-1901

Directions to “LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE ” Practice Location

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