Organization
LEWISTOWN AMBULATORY CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY E TEWKSBURY (VICE PRESIDENT OF FINANCE CFO)
(717) 242-7650
Entity
Organization
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7650
Mailing address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
05/01/2008
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