Provider Demographics
NPI:1982276358
Name:GYNECOLOGY CARE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:GYNECOLOGY CARE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-243-3429
Mailing Address - Street 1:136 JAYCEE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3650
Mailing Address - Country:US
Mailing Address - Phone:814-243-0414
Mailing Address - Fax:814-479-8113
Practice Address - Street 1:136 JAYCEE DR STE 10
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3650
Practice Address - Country:US
Practice Address - Phone:814-243-0414
Practice Address - Fax:814-479-8113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty