| NPI | 1225470107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D LAWRENCE Director Of Operations And Analytic 814-452-5241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |