Organization
LEBANON VALLEY MIDWIFERY & WOMEN'S WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FARRELL CNM (OWNER)
(717) 933-9743
Entity
Organization
Contact information
Practice address
770 HOST RD, WOMELSDORF, PA 19567-9100
(717) 933-9743
(717) 933-8289
Mailing address
770 HOST RD, WOMELSDORF, PA 19567-9100
(717) 933-9743
(717) 933-8289
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102422745 0001
—
PA
Enumeration date
05/09/2014
Last updated
05/09/2014
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