Organization
LEWISBURG PLASTIC SURGERY AND LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST NORMINGTON M.D. (PRESIDENT)
(570) 524-7777
Entity
Organization
Contact information
Practice address
135 WALTER DR, LEWISBURG, PA 17837-7482
(570) 524-7777
(570) 523-9165
Mailing address
135 WALTER DR, LEWISBURG, PA 17837-7482
(570) 524-7777
(570) 523-9165
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAPITAL BLUE CROSS
02816600
PA
Enumeration date
07/13/2006
Last updated
03/29/2016
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