Provider Demographics
NPI:1447546668
Name:EAST LIVERPOOL ANESTHESIA ASSOCIATES LLC
Entity type:Organization
Organization Name:EAST LIVERPOOL ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:WEISBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:800-240-3090
Mailing Address - Street 1:PO BOX 988
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-5988
Mailing Address - Country:US
Mailing Address - Phone:800-240-3090
Mailing Address - Fax:304-387-5215
Practice Address - Street 1:425 W 5TH ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2405
Practice Address - Country:US
Practice Address - Phone:800-240-3090
Practice Address - Fax:304-387-5215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty