Lanny C Pelliccia in Kingston - Podiatrist
Lanny C Pelliccia - NPI 1114922648
Lanny C Pelliccia is a Podiatrist in Kingston, Pennsylvania. Lanny C Pelliccia practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Lanny C Pelliccia is 1114922648. The last update date is 2007-12-06.
Lanny C Pelliccia's current location address is 270 Pierce St, Kingston, Pennsylvania. You can contact this provider via phone number 5702833668 and fax number 5702830309. The mailing address for Lanny C Pelliccia is 270 Pierce St, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lanny C Pelliccia |
|---|---|
| Address | 270 Pierce St, Kingston, Pennsylvania |
| Phone Number | 5702833668 |
| Fax Number | 5702830309 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1114922648 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2007-12-06 |
Provider Mailing Address Detail
| Address | 270 Pierce St |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 1870451410 |
| Phone Number | 5702833668 |
| Fax Number | 5702830309 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | SC-003688-L |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| U27800 | HEALTH ASSURANCE | ||
| 5152 | EMPIRE BC/BS | ||
| 232635090 001 | TRICARE / CHAMPUS | ||
| 4532974 | AETNE / PPO | ||
| G09847 | AMERIHEALTH | ||
| 75903 | PA | FIRST PRIORITY HEALTH | |
| 611664 | TRIGON / MEDIGAP | ||
| PE709847 | PA | BLUE CROSS / BLUE SHIELD | |
| 001285747/0002 | PA | -- | |
| 1502456 | UNITED MINE WORKERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lanny C Pelliccia?
The Lanny C Pelliccia has been issued the NPI (National Provider Identifier) 1114922648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Lanny C Pelliccia?
The Lanny C Pelliccia is situated at 270 Pierce St, in the city of Kingston, state of PA, with the zip code 1870451410.
What is Lanny C Pelliccia's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lanny C Pelliccia is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date was the 1114922648 assigned to Lanny C Pelliccia?
The Lanny C Pelliccia was issued its 1114922648 on 2005-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Lanny C Pelliccia, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lanny C Pelliccia, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-06.