Organization
LOCK HAVEN PODIATRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL CHARLES ROSSMAN D.P.M. (OWNER)
(814) 355-1850
Entity
Organization
Contact information
Practice address
610 HIGH ST, SPECIALISTS CLINIC, LOCK HAVEN, PA 17745-3018
(570) 748-1270
(570) 748-1271
Mailing address
610 HIGH ST, SPECIALISTS CLINIC, LOCK HAVEN, PA 17745-3018
(570) 748-1270
(570) 748-1271
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC005592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014668430001
—
PA
01
—
LO1774288
HIGHMARK BCBS
PA
Enumeration date
11/23/2006
Last updated
08/22/2020
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