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NPI Code Detail

MEDICARE: LANCASTER SURGICAL ASSOCIATES, P.A.

MEDICARE: LANCASTER SURGICAL ASSOCIATES, P.A.
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
1208600000XSurgery Physician

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 : 1538161047
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANCASTER SURGICAL ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 1033 W MEETING ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2205
Country : US
Telephone Number : 803-286-9762
Fax Number : 803-286-9765
Provider Business Practice Location Address
First Line : 1033 W MEETING ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2205
Country : US
Telephone Number : 803-286-9762
Fax Number : 803-286-9765
Authorized Official
Title or Position : PRESIDENT
Name : DR. SUNIL V LALLA
Credential : M.D.
Telephone Number : 803-286-9762
Provider Enumeration Date : 08/15/2005
Last Update Date : 10/05/2007

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