# LEBANON PAIN RELIEF CENTER PC

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

## Provider details

- **NPI number:** 1285903245
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5900

## Contact information

- **Practice address:** 600 ISABEL DR STE 3, LEBANON, PA 17042-3500
- **Practice address phone:** (717) 272-7272
- **Practice address fax:** (717) 272-0072
- **Mailing address:** 4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
- **Mailing address phone:** (866) 631-7890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 04/26/2021