| NPI | 1487001749 |
|---|---|
| Other Name | GAUDENZIA LEWISBURG OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Sr. Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 607058) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2022-02-16 |