Lewis Balla

NPI #1104116854 in New Bethlehem, Pennsylvania

Provider Information

NPI Number: 1104116854
Entity Type: Individual
Name: Lewis Balla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 14, 2011
Last Updated: Apr 14, 2011

Practice Location

Address: 610 BROAD ST
City: New Bethlehem
State: Pennsylvania
ZIP Code: 16242-1106
Phone: (814) 275-4241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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