Organization
ERIE MEDICAL SPECIALTY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LYONS (PRESIDENT)
(814) 455-2170
Entity
Organization
Contact information
Practice address
2566 W 12TH ST, ERIE, PA 16505-4508
(814) 838-0990
Mailing address
2566 W 12TH ST, ERIE, PA 16505-4508
(814) 838-0990
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD025800E
PA
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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