Organization
FAMILY MEDICAL CARE OF LAWRENCE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LARIMER GARDNER III M.D. (PRESIDENT/OWNER)
(724) 946-3564
Entity
Organization
Contact information
Practice address
150 N NEW CASTLE ST, NEW WILMINGTON, PA 16142-1019
(724) 946-3564
(724) 946-2156
Mailing address
150 N NEW CASTLE ST, NEW WILMINGTON, PA 16142-1019
(724) 946-3564
(724) 946-2156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013176
PA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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