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Organization
TIFFANY M LAWRENCE DO
Active
Organization
TIFFANY M LAWRENCE DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY M PLUTO D.O. (PHYSICIAN)
(724) 468-6869
Entity
Organization
Contact information
Practice address
2025 REVERE DR, CONNELLSVILLE, PA 15425-1524
(724) 887-5640
Mailing address
506 ATHENA DR, PO BOX 98, DELMONT, PA 15626-1005
(724) 468-6869
(724) 468-6207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010516L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018717080004
—
PA
01
—
OS010516L
STATE LICENSE #
PA
Enumeration date
07/06/2007
Last updated
03/07/2023
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