1376529602 NPI number — MISS LORRI ANN LANKIEWICZ MPT,ATC,PC

Table of content: ZALINA DELISI PHARMD (NPI 1740167915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376529602 NPI number — MISS LORRI ANN LANKIEWICZ MPT,ATC,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANKIEWICZ
Provider First Name:
LORRI
Provider Middle Name:
ANN
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MPT,ATC,PC
Provider Gender Code:
F

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:
1376529602
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601A PITTSBURGH RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16002-4033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-481-1141
Provider Business Mailing Address Fax Number:
724-481-1142

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
267 PITTSBURGH RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16002-3954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-477-3181
Provider Business Practice Location Address Fax Number:
724-477-3158
Provider Enumeration Date:
12/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT-013022-L , 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: 579511 . This is a "HIGHMARK BC/BS/LAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 268382 . This is a "HEALTH AMERICA: BFW, LLC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 268402 . This is a "HEALTH AMERICA: LAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: PT-013022-L . This is a "LICENSE NIMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1567214 . This is a "HIGHMARK BC/BS: BFW, LLC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com