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Organization
LEBANON PAIN RELIEF CENTER PC
Active
Organization
LEBANON PAIN RELIEF CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
600 ISABEL DR STE 3, LEBANON, PA 17042-3500
(717) 272-7272
(717) 272-0072
Mailing address
4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
(866) 631-7890
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
04/26/2021
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