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NPI Code Detail

MEDICARE: LAWRENCE COUNTY MEDICAL ASSOCIATES

MEDICARE: LAWRENCE COUNTY MEDICAL ASSOCIATES
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 Physician

General Provider Information

NPI Number : 1043821325
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCE COUNTY MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 2520 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-7550
Fax Number : 724-658-7551
Provider Business Practice Location Address
First Line : 2520 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-7550
Fax Number : 724-658-7551
Authorized Official
Title or Position : PRESIDENT
Name : DAVID ROBERT SHOBER
Credential : D.O.
Telephone Number : 724-658-7550
Provider Enumeration Date : 08/11/2020
Last Update Date : 08/11/2020

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Directions to “LAWRENCE COUNTY MEDICAL ASSOCIATES ” Practice Location

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