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32 E Lawrence Rd Lawrenceville Health Center Lawrenceville PA 16929 | |
| (570) 827-0125 | |
| (570) 827-0129 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 32 E Lawrence Rd, Lawrenceville, Pennsylvania |
| Authorized Official Name and Position | Angela M. Vanzile (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5706621945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6a Riverside Plz Blossburg PA 16912-1137 Ph: (570) 662-1945 | 32 E Lawrence Rd Lawrenceville Health Center Lawrenceville PA 16929 Ph: (570) 827-0125 |
| NPI Number | 1326148164 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/08/2022 |
| Medicare PECOS PAC ID | 0446245880 |
|---|---|
| Medicare Enrollment ID | O20050517000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326148164 | NPI | - | NPPES |
| 1000011720039 | Medicaid | PA |
Tioga Dental Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 E Lawrence Rd, Lawrenceville, PA 16929 Phone: 570-724-9145 Fax: 570-724-5397 |