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Organization
COMPASSIONATE CERTIFICATION CENTERS PLLC
Active
Organization
COMPASSIONATE CERTIFICATION CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LAU (CREDENTIALING)
(724) 989-4564
Entity
Organization
Contact information
Practice address
14628 N GIL BALCOME, SURPRISE, AZ 85379-5400
(888) 316-9085
Mailing address
355 5TH AVE STE 1502, PITTSBURGH, PA 15222-2418
(888) 316-9085
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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