Organization
LUMBERTON SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L VILLANI MD (PRESIDENT)
(910) 738-8556
Entity
Organization
Contact information
Practice address
3001 N ELM ST, LUMBERTON, NC 28358-2984
(910) 738-8556
(910) 738-2275
Mailing address
3001 N ELM ST, LUMBERTON, NC 28358-2984
(910) 738-8556
(910) 738-2275
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902041
—
NC
Enumeration date
06/22/2005
Last updated
07/13/2010
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