Organization
LIGONIER GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA F DENNING M.D. (OWNER/PHYSICIAN)
(724) 691-6489
Entity
Organization
Contact information
Practice address
113 S FAIRFIELD ST, LIGONIER, PA 15658-1163
(724) 691-6489
Mailing address
513 ROUTE 259, LIGONIER, PA 15658-2468
(724) 691-6489
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD-067284-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017509900001
—
PA
Enumeration date
04/30/2013
Last updated
04/30/2013
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