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Organization
LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE
Active
Parent organization
LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE
Other names
LAWRENCE COUNTY ORTHOPEDICS PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE COUNTY ORTHOPEDICS AND SPORTS MEDICINE
Authorized official
DR. ROBERT D MCGANN D.O. (MANAGING PARTNER)
(724) 658-5311
Entity
Organization
Contact information
Practice address
3120 WILMINGTON RD, B, NEW CASTLE, PA 16105-1168
(724) 657-6852
(724) 657-8945
Mailing address
3120 WILMINGTON RD, B, NEW CASTLE, PA 16105-1168
(724) 657-6852
(724) 657-8945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007700L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA995541
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/10/2008
Last updated
09/03/2008
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