Organization
LEBANON SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A BAZEWICZ MD (DOCTOR)
(717) 273-2697
Entity
Organization
Contact information
Practice address
229 S 4TH ST, LEBANON, PA 17042
(717) 273-2697
(717) 273-0126
Mailing address
229 S 4TH ST, LEBANON, PA 17042
(717) 273-2697
(717) 273-0126
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD04154E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011241650001
—
PA
Enumeration date
02/05/2007
Last updated
05/14/2012
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