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Organization

ANESTHESIA CONSULTANTS OF MEADVILLE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI K LEWIS (OFFICE MANAGER)
(814) 333-5728
Entity
Organization

Contact information

Practice address
1034 GROVE ST, MEADVILLE, PA 16335
(814) 333-5728
(814) 333-5726
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335
(814) 333-5728
(814) 333-5726

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011355160016
PA
05
0011355160019
PA
05
0011366160020
PA
Enumeration date
12/27/2005
Last updated
10/16/2019
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