Lee Mcdonald Defazio in Lake Ariel - Family
Lee Mcdonald Defazio - NPI 1346439981
Lee Mcdonald Defazio is a Family in Lake Ariel, Pennsylvania. Lee Mcdonald Defazio practices all healthcare services and medical treatments related to Family. The NPI Number for Lee Mcdonald Defazio is 1346439981. The last update date is 2018-03-17.
Lee Mcdonald Defazio's current location address is 62 Industrial Park Rd, Lake Ariel, Pennsylvania. You can contact this provider via phone number 5706897565 and fax number 5706894803. The mailing address for Lee Mcdonald Defazio is 62 Industrial Park Rd, Lake Ariel, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Mcdonald Defazio |
|---|---|
| Address | 62 Industrial Park Rd, Lake Ariel, Pennsylvania |
| Phone Number | 5706897565 |
| Fax Number | 5706894803 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1346439981 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 62 Industrial Park Rd |
|---|---|
| City | Lake Ariel |
| State | Pennsylvania (PA) |
| Post Code | 184365606 |
| Phone Number | 5706897565 |
| Fax Number | 5706894803 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | SP009466 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1025941780002 | PA | -- | |
| 1025941780001 | PA | -- | |
| 1025941780003 | PA | -- | |
| 1025941780004 | PA | -- |
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What is the unique 10-digit identifier code issued to Lee Mcdonald Defazio by the Centers for Medicare & Medicaid Services?
The Lee Mcdonald Defazio has been assigned the NPI (National Provider Identifier) 1346439981 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lee Mcdonald Defazio?
The Lee Mcdonald Defazio is situated at 62 Industrial Park Rd, in the city of Lake Ariel, state of PA, with the zip code 184365606.
What is the Lee Mcdonald Defazio's specialty and taxonomy code?
The Lee Mcdonald Defazio's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When did the Lee Mcdonald Defazio receive its 1346439981?
The Lee Mcdonald Defazio was issued its 1346439981 on 2007-10-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lee Mcdonald Defazio most recently updated or revised?
The details related to Lee Mcdonald Defazio, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC