NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134114119 |   |   |   | EVANGELICAL AMBULATORY SURGICAL CENTER, LLC | 210 JPM RD | LEWISBURG | PA | 178379367 |
1316932304 | DERRICK | LORETTA | C. |   | 210 JPM RD | LEWISBURG | PA | 178379367 |
1336134923 | ISAACSON | JOHN | F |   | 210 JPM RD | LEWISBURG | PA | 178379367 |