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Organization
LAZOR & BENLOCK PHYSICAL THERAPY AND SPORTS MEDICINE, INC.
Active
Organization
LAZOR & BENLOCK PHYSICAL THERAPY AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BONIDIE (OFFICE MANAGE)
(412) 835-2626
Entity
Organization
Contact information
Practice address
110 FORT COUCH RD, PITTSBURGH, PA 15241-1030
(412) 835-2626
(412) 835-2526
Mailing address
110 FORT COUCH RD, PITTSBURGH, PA 15241-1030
(412) 835-2626
(412) 835-2526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620886
BCBS
PA
01
—
239906
HEALTH AMERICA
PA
Enumeration date
11/06/2006
Last updated
09/16/2015
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