MEDICARE: LOCK HAVEN MEDICAL CENTER INC

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	207R00000X	Internal Medicine Physician	MD073482L	PA

General Provider Information

NPI Number	:	1093829855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOCK HAVEN MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	930 BELLEFONTE AVE
Second Line	:	SUITE 105
City	:	LOCK HAVEN
State	:	PA
Zip	:	17745-2754
Country	:	US
Telephone Number	:	570-748-1550
Fax Number	:	570-748-1510

Provider Business Practice Location Address
First Line	:	930 BELLEFONTE AVE
Second Line	:	SUITE 105
City	:	LOCK HAVEN
State	:	PA
Zip	:	17745-2754
Country	:	US
Telephone Number	:	570-748-1550
Fax Number	:	570-748-1510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BHARAT G ADROJA
Credential	:	MD
Telephone Number	:	570-748-1550

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1821070947 — DR. BHARAT G ADROJA M.D.
Practice Location Address:

930 BELLEFONTE AVE , SUITE 105
LOCK HAVEN, PA
17745-2754

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1437163672 — MR. ROBERT EUGENE SAUL RCS
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1750484739 — DR. ALISON A. BOTEK M.D.
Practice Location Address:

930 BELLEFONTE AVE , SUITE 103
LOCK HAVEN, PA
17745-2754

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Practice Location Address:

930 BELLEFONTE AVE , SUITE 103
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17745-2754

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1164506739 — MELISSA NANCY RANDECKER O.D.
Practice Location Address:

930 BELLEFONTE AVE
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1881752954 — SUSQUEHANNA EYE ASSOCIATES LLC
Practice Location Address:

930 BELLEFONTE AVE , SUITE 108
LOCK HAVEN, PA
17745-2754

Practice Phone: 570-748-8900
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Directions to “LOCK HAVEN MEDICAL CENTER INC ” Practice Location

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