| Manor Avenue Clinic Inc | |
|
296 E Manor Ave Struthers OH 44471-1545 | |
| (330) 755-3233 | |
| (330) 755-4511 |
| Full Name | Manor Avenue Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 296 E Manor Ave, Struthers, Ohio |
| Authorized Official Name and Position | Andrew J Lockshaw (DO) |
| Authorized Official Contact | 3307553233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Avenue Clinic Inc 296 E Manor Ave Struthers OH 44471-1545 Ph: (330) 755-3233 | Manor Avenue Clinic Inc 296 E Manor Ave Struthers OH 44471-1545 Ph: (330) 755-3233 |
| NPI Number | 1326022625 |
|---|---|
| Provider Enumeration Date | 12/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326022625 | NPI | - | NPPES |
| 0795564 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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