Provider Demographics
NPI:1659020659
Name:LEHMAN TWSP BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:LEHMAN TWSP BOARD OF SUPERVISORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:570-588-9365
Mailing Address - Street 1:193 MUNICIPAL DR
Mailing Address - Street 2:
Mailing Address - City:BUSHKILL
Mailing Address - State:PA
Mailing Address - Zip Code:18324-8348
Mailing Address - Country:US
Mailing Address - Phone:570-588-9365
Mailing Address - Fax:570-844-1818
Practice Address - Street 1:193 MUNICIPAL DR
Practice Address - Street 2:
Practice Address - City:BUSHKILL
Practice Address - State:PA
Practice Address - Zip Code:18324-8348
Practice Address - Country:US
Practice Address - Phone:570-588-9365
Practice Address - Fax:570-844-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport