Organization
REBECCA D LASHBROOK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK AUSTIN LASHBROOK (PRACTICE ADMINISTRATOR)
(814) 333-8277
Entity
Organization
Contact information
Practice address
280 CLINTON CT, MEADVILLE, PA 16335-3362
(814) 333-8277
(814) 333-6203
Mailing address
280 CLINTON CT, MEADVILLE, PA 16335-3362
(814) 333-8277
(814) 333-6203
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD-068906-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007502370005
—
PA
Enumeration date
08/07/2008
Last updated
07/18/2011
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