Organization
LAWRENCE COUNTY SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD G REDOVAN M.D. (CHAIRMAN OF THE BOARD)
(724) 656-9181
Entity
Organization
Contact information
Practice address
2 E LAUREL AVE, NEW CASTLE, PA 16101-2354
(724) 656-9181
(724) 656-1340
Mailing address
2 E LAUREL AVE, NEW CASTLE, PA 16101-2354
(724) 656-9181
(724) 656-1340
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000151037
THREE RIVERS
PA
05
—
1010666450001
—
PA
01
—
1540559
GATEWAY
PA
01
—
2102
BLUE SHIELD
PA
01
—
241729
HEALTH AMERICA/ADVANTRA
PA
01
—
P00083129
RAILROAD MEDICARE
PA
Enumeration date
02/22/2006
Last updated
08/22/2020
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