# MAIN LINE REPRODUCTIVE SURGERY CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194450148
- **Authorized official:** LISA PEARSON (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (484) 645-9700

## Contact information

- **Practice address:** 825 OLD LANCASTER RD STE 170, BRYN MAWR, PA 19010-3234
- **Practice address phone:** (610) 527-0800
- **Mailing address:** 4828 LOOP CENTRAL DR STE 900, HOUSTON, TX 77081-2220
- **Mailing address phone:** (484) 645-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2022
- **Last updated:** 10/11/2023