Organization
LEBANON INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L SIANIS (BILLING MANAGER)
(717) 273-6706
Entity
Organization
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Mailing address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000438
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007532100007
—
PA
01
—
1525917
GATEWAY
PA
Enumeration date
01/18/2007
Last updated
11/13/2008
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