| Lawrence County Medical Associates | |
|
2520 Wilmington Rd New Castle PA 16105-1644 | |
| (724) 658-7550 | |
| (724) 658-7551 |
| Full Name | Lawrence County Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2520 Wilmington Rd, New Castle, Pennsylvania |
| Authorized Official Name and Position | David Robert Shober (PRESIDENT) |
| Authorized Official Contact | 7246587550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence County Medical Associates 2520 Wilmington Rd New Castle PA 16105-1644 Ph: (724) 658-7550 | Lawrence County Medical Associates 2520 Wilmington Rd New Castle PA 16105-1644 Ph: (724) 658-7550 |
| NPI Number | 1043821325 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 5991122293 |
|---|---|
| Medicare Enrollment ID | O20200901002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043821325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Shober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255319042 PECOS PAC ID: 7012951122 Enrollment ID: I20050620000022 |
| Provider Name | Laura L Dejulia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831407196 PECOS PAC ID: 9739363433 Enrollment ID: I20110404000773 |
| Provider Name | Barbara Ragnelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396856043 PECOS PAC ID: 0840431920 Enrollment ID: I20160226001537 |
| Provider Name | Jason Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932628484 PECOS PAC ID: 6800154253 Enrollment ID: I20171213001581 |
| Provider Name | Hannah G Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366125650 PECOS PAC ID: 4880041987 Enrollment ID: I20231110002824 |
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