Individual
LUCIAN P. BEDNARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Mailing address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD054459L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001598910-0004
—
PA
01
—
140004801
RAILROAD MEDICARE
PA
01
—
20038442
AMERIHEALTH
PA
01
—
22387-1067
GEISINGER
PA
01
—
2252156
AETNA
PA
01
—
50075037
CAPITAL BLUE CROSS
PA
01
—
545626
BLUE CARE
PA
01
—
804214
BLUE CARE HMO (FPH)
PA
Enumeration date
08/30/2005
Last updated
06/17/2009
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