Provider Demographics
NPI:1619120359
Name:NEUROSURGICAL NETWORK, INC.
Entity Type:Organization
Organization Name:NEUROSURGICAL NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:P
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:419-251-1155
Mailing Address - Street 1:2600 NAVARRE AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3207
Mailing Address - Country:US
Mailing Address - Phone:419-251-1155
Mailing Address - Fax:419-251-3868
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:SUITE M200
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2673
Practice Address - Country:US
Practice Address - Phone:419-251-1155
Practice Address - Fax:419-251-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty