Organization
LINGANNA, B. Y. M.D., P.C.
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization
Contact information
Practice address
1232 S MILL ST, NEW CASTLE, PA 16101-4812
(724) 654-2719
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD020402E
PA
Other
Enumeration date
02/12/2007
Last updated
11/08/2016
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