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Individual

LAWRENCE E FREEDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 LIGONIER ST, LATROBE, PA 15650-1426
(724) 539-9736
(724) 539-2836
Mailing address
600 LIGONIER ST, LATROBE, PA 15650-1426
(724) 539-9736
(724) 539-2836

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD017654E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0638412
PA
01
088162
HIGHMARK BLUE SHIELD
PA
01
1002238
GATEWAY
01
300589
UPMC
PA
Enumeration date
09/14/2006
Last updated
07/08/2007
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