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Organization
LAWRENCE COUNTY FAMILY MEDICINE PC
Active
Organization
LAWRENCE COUNTY FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE A FAZIOLI MD (PRESIDENT)
(724) 658-7550
Entity
Organization
Contact information
Practice address
2520 WILMINGTON RD, NEW CASTLE, PA 16105-1644
(724) 658-7550
(724) 658-7551
Mailing address
2520 WILMINGTON RD, NEW CASTLE, PA 16105-1644
(724) 658-7550
(724) 658-7551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018826300006
—
PA
Enumeration date
08/31/2006
Last updated
08/22/2020
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