| Lawrence County Family Medicine Pc | |
|
2520 Wilmington Rd New Castle PA 16105-1644 | |
| (724) 658-7550 | |
| (724) 658-7551 |
| Full Name | Lawrence County Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2520 Wilmington Rd, New Castle, Pennsylvania |
| Authorized Official Name and Position | Lawrence A Fazioli (PRESIDENT) |
| Authorized Official Contact | 7246587550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence County Family Medicine Pc 2520 Wilmington Rd New Castle PA 16105-1644 Ph: (724) 658-7550 | Lawrence County Family Medicine Pc 2520 Wilmington Rd New Castle PA 16105-1644 Ph: (724) 658-7550 |
| NPI Number | 1518078252 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518078252 | NPI | - | NPPES |
| 0018826300006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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