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Organization

LANCASTER SURGICAL ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT O JOHNSON M.D. (PRESIDENT)
(740) 654-6213
Entity
Organization

Contact information

Practice address
819 STATE ROUTE 664 N, LOGAN, OH 43138-8540
(740) 654-6213
(740) 654-3346
Mailing address
2405 N COLUMBUS ST, SUITE 250, LANCASTER, OH 43130-8185
(740) 654-6213
(740) 654-3346

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2007189
OH
Enumeration date
08/03/2006
Last updated
10/19/2007
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