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1801995766
TRI-STATE UROLOGY
EAST LIVERPOOL, OH
NPI
1801995766
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Entity Type
Organization
Authorized Contact
MICHAEL LANE LUSTBADER
Doctor
724-728-4224
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: PA MD031897E)
Enumeration Date
2006-09-21
Last Update Date
2008-01-18
Business Address
TRI-STATE UROLOGY
16844 SAINT CLAIR AVE
EAST LIVERPOOL, OH 43920-4277
Phone number: 330-385-1770
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Mailing Address
TRI-STATE UROLOGY
1 PEARTREE WAY
BEAVER, PA 15009-1954
Phone number: 724-728-4224
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