Healthcare Provider Details

I. General information

NPI: 1184699233
Provider Name (Legal Business Name): LAWRENCE COUNTY SURGERY CENTER, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 E LAUREL AVE
NEW CASTLE PA
16101-2354
US

IV. Provider business mailing address

2 E LAUREL AVE
NEW CASTLE PA
16101-2354
US

V. Phone/Fax

Practice location:
  • Phone: 724-656-9181
  • Fax: 724-656-1340
Mailing address:
  • Phone: 724-656-9181
  • Fax: 724-656-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD G REDOVAN
Title or Position: CHAIRMAN OF THE BOARD
Credential: M.D.
Phone: 724-656-9181