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Organization

LAWRENCE CLIFTON WEI, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE C WEI (OWNER)
(814) 274-7910
Entity
Organization

Contact information

Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7910
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7910

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD033374E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010078660005
PA
01
101090
BLUE SHIELD HIGHMARK
01
220038
UPMC HEALTH
01
5035931
BLUE SHIELD WESTERN NY
01
723061
KEYSTONE HEALTH WEST
01
P013516
CHAMPUS
Enumeration date
11/28/2007
Last updated
11/30/2007
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