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NPI Code Detail

MEDICARE: LEMENTOWSKI & ASSOCIATES SURGERY LLC

MEDICARE: LEMENTOWSKI & ASSOCIATES SURGERY LLC
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
1207Q00000XFamily Medicine PhysicianMD038244LPA
2208600000XSurgery PhysicianMD038244LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710968045
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEMENTOWSKI & ASSOCIATES SURGERY LLC
Provider Business Mailing Address
First Line : 2 EASTGATE AVE
Second Line : SUITE 103
City : MONESSEN
State : PA
Zip : 15062-1393
Country : US
Telephone Number : 724-684-7170
Fax Number : 724-684-7172
Provider Business Practice Location Address
First Line : 2 EASTGATE AVE
Second Line : SUITE 103
City : MONESSEN
State : PA
Zip : 15062-1393
Country : US
Telephone Number : 724-684-7170
Fax Number : 724-684-7172
Authorized Official
Title or Position : PRESIDENT
Name : MICHAL LEMENTOWSKI
Credential : MD
Telephone Number : 724-684-7170
Provider Enumeration Date : 11/14/2005
Last Update Date : 05/20/2014

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Directions to “LEMENTOWSKI & ASSOCIATES SURGERY LLC ” Practice Location

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