Organization
LEBANON PAIN RELIEF CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
600 ISABEL DR STE 3, LEBANON, PA 17042-3500
(717) 272-7272
(717) 272-0072
Mailing address
4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
(866) 631-7890
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
04/26/2021
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