Organization
LAKE ERIE ORTHOPAEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KASTRUP M.D. (OWNER)
(407) 709-6714
Entity
Organization
Contact information
Practice address
300 STATE ST, SUITE 301H, ERIE, PA 16507-1430
(407) 709-6714
(814) 454-1476
Mailing address
PO BOX 6211, ERIE, PA 16512-6211
(407) 709-6714
(814) 454-1476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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