# SURGERY CENTER OF LEBANON, LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PHYSICIANS SURGICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679595680
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 1840 QUENTIN RD, LEBANON, PA 17042-7436
- **Practice address phone:** (717) 272-0007
- **Practice address fax:** (717) 675-2247
- **Mailing address:** 1840 QUENTIN RD, LEBANON, PA 17042-7436
- **Mailing address phone:** (717) 272-0007
- **Mailing address fax:** (717) 675-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1893 | PA | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/07/2023