Provider Demographics
NPI:1861091290
Name:PENNSYLVANIA ANESTHESIA COALITION LLC
Entity type:Organization
Organization Name:PENNSYLVANIA ANESTHESIA COALITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBROS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:610-763-7722
Mailing Address - Street 1:41 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9789
Mailing Address - Country:US
Mailing Address - Phone:215-692-2842
Mailing Address - Fax:
Practice Address - Street 1:41 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-9789
Practice Address - Country:US
Practice Address - Phone:215-692-2842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty