# LEBANON OUTPATIENT SURGICAL CENTER L.P.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992768048
- **Authorized official:** ANITA G. FUHRMAN RN,BS,CASC (DIRECTOR)
- **Authorized official phone:** (717) 228-1620

## Contact information

- **Practice address:** 830 TUCK ST, LEBANON, PA 17042-7477
- **Practice address phone:** (717) 228-1620
- **Practice address fax:** (717) 228-1642
- **Mailing address:** 830 TUCK ST, LEBANON, PA 17042-7477
- **Mailing address phone:** (717) 228-1620
- **Mailing address fax:** (717) 228-1642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 05781500 | PA | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/22/2020