Organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Active
Parent organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official
MELISSA ALLISON (SR. DIRECTOR OF RCM)
(314) 741-8183
Entity
Organization
Contact information
Practice address
816 ESTELLE DR, LANCASTER, PA 17601-2135
(717) 898-8878
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(314) 741-8183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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