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NPI Code Detail

MEDICARE: LAWRENCE C DEUBER PAC

MEDICARE: LAWRENCE C DEUBER PAC
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
1363A00000XPhysician AssistantOA000499LPA
2363AM0700XMedical Physician AssistantMA003514LPA
3363A00000XPhysician AssistantC50000327DE

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 : 1316925142
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE C DEUBER PAC
Provider Business Mailing Address
First Line : 50 BEECH DRIVE
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403
Country : US
Telephone Number : 610-279-6100
Fax Number : 610-279-0670
Provider Business Practice Location Address
First Line : 50 BEECH DR
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-5421
Country : US
Telephone Number : 610-279-6100
Fax Number : 610-279-0670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 12/23/2009

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Directions to “ LAWRENCE C DEUBER PAC” Practice Location

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