Organization
LUTHERAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE W WAGNER M.D (CHAIRMAN/ SENIOR VICE PRESIDENT)
(718) 630-8356
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2553
(718) 630-8356
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2553
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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