# LEBANON SURGICAL ASSOCIATES, P.S.C.

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

## Provider details

- **NPI number:** 1255417887
- **Authorized official:** DR. FREDERICK A DORROH M.D. (PRESIDENT)
- **Authorized official phone:** (270) 692-2222

## Contact information

- **Practice address:** 496 W MAIN ST, LEBANON, KY 40033-1362
- **Practice address phone:** (270) 692-2222
- **Practice address fax:** (270) 692-1041
- **Mailing address:** 496 W MAIN ST, LEBANON, KY 40033-1362
- **Mailing address phone:** (270) 692-2222
- **Mailing address fax:** (270) 692-1041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 27388 | KY | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020