Most Relevant Information
Provider Data
NPI Number: | 1003353970 |
Provider Name: | LAUREN BARTHOLOMEW |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | OP007742 |
Most Important Dates
Enumeration Date: | 01/30/2017 |
Last Updated: | 01/30/2017 |
Provider Practice Location
980 E WATER ST
LOCK HAVEN
PA
177451514
Practice Location Phone/Fax
Phone: | 5707483928 |
Fax: | 5707483610 |
Provider Mailing Location
980 E WATER ST
LOCK HAVEN
PA
177451514
Provider Mailing Phone/Fax
Phone: | 5707483928 |
Fax: | 5707483610 |