Organization
LAWRENCE COUNTY ANESTHESIA ASSOC PC
Active
Other names
The Nour Group for Pain Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH NOUR M.D. (PHYSICIAN)
(724) 431-0609
Entity
Organization
Contact information
Practice address
103 TECHNOLOGY DR, BUTLER, PA 16001-1785
(724) 431-0609
(724) 431-0611
Mailing address
171 OMNI ST, FOMBELL, PA 16123-2109
(724) 752-5230
(724) 431-0611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD051352L
PA
174400000X
Specialist
Primary
MD051358L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079135
UNISON
PA
05
—
0014803580005
—
PA
01
—
1047501
AETNA HMO MEDICARE
PA
01
—
1503378
GATEWAY
PA
01
—
251748
UPMC
PA
01
—
354726
BLUE SHIELD
PA
01
—
82851
HEALTH ASSURANCE
PA
01
—
CN8900
RAILROAD MEDICARE
PA
Enumeration date
12/19/2006
Last updated
05/03/2012
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