1588600902 NPI number — UPMC MUNCY

Table of content: DR. ROBERT L. LESSER M.D. (NPI 1154391159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588600902 NPI number — UPMC MUNCY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC MUNCY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588600902
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1205 GRAMPIAN BLVD
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
WILLIAMSPORT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17701-1978
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-326-8676
Provider Business Mailing Address Fax Number:
570-326-8601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 E WATER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUNCY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17756-8828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-546-8282
Provider Business Practice Location Address Fax Number:
570-326-8601
Provider Enumeration Date:
06/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YOST
Authorized Official First Name:
ROGER
Authorized Official Middle Name:
C
Authorized Official Title or Position:
INTERIM CFO
Authorized Official Telephone Number:
570-321-3175

Provider Taxonomy Codes

  • Taxonomy code: 275N00000X , with the licence number:  134301 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 39Z301 . This is a "BLUE CROSS PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 058074 . This is a "FIRST PRIORITY HEALTH PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20020966 . This is a "AMERIHEALTH HMO AMER PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 29430 . This is a "GEISINGER HEALTH PLAN PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 391301 . This is a "HEALTH ASSURANCE PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000111 . This is a "AMERIHEALTH ADMINSTR PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1004905 . This is a "KEYSTONE MERCY HEALTH PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 309502 . This is a "BLACK LUNG PROGRAM PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 391301 . This is a "AETNA PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 391301 . This is a "HEALTH AMERICA PIN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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