Organization
LEBANON EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D SMITH (BUSINESS MANAGER)
(717) 270-7740
Entity
Organization
Contact information
Practice address
4TH & WALNUT ST, GOOD SAMARITAN HOSPITAL, LEBANON, PA 17042-1728
(717) 270-7740
(717) 270-3877
Mailing address
4TH & WALNUT ST, PO BOX 1281, LEBANON, PA 17042-1728
(717) 270-7740
(717) 270-3877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012366710008
—
PA
01
—
03201400
BLUE CROSS
PA
01
—
661084
BLUE SHIELD
PA
Enumeration date
02/08/2007
Last updated
03/04/2008
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