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Organization
LAWRENCE E MUMIE MD PC
Active
Organization
LAWRENCE E MUMIE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE E MUMIE MD (PRESIDENT PHYSICIAN)
(570) 454-1444
Entity
Organization
Contact information
Practice address
75 AIRPORT ROAD, STE 104, HAZLETON, PA 18202-9541
(570) 454-1444
(570) 454-1435
Mailing address
75 AIRPORT ROAD, STE 104, HAZLETON, PA 18202-9541
(570) 454-1444
(570) 454-1435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2745474
PA
291U00000X
Clinical Medical Laboratory
—
PA
Other
Enumeration date
05/05/2006
Last updated
11/27/2007
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