Provider Demographics
NPI:1730362880
Name:LEHRIAN AND PALO ORAL SURGERY, PC
Entity type:Organization
Organization Name:LEHRIAN AND PALO ORAL SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PALO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:814-454-3871
Mailing Address - Street 1:100 STATE ST
Mailing Address - Street 2:SUITE B102
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1452
Mailing Address - Country:US
Mailing Address - Phone:814-454-3871
Mailing Address - Fax:814-454-6294
Practice Address - Street 1:100 STATE ST
Practice Address - Street 2:SUITE B102
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1452
Practice Address - Country:US
Practice Address - Phone:814-454-3871
Practice Address - Fax:814-454-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty