Lanny C. Pelliccia Dpm

NPI #1306019856 in Kingston, Pennsylvania

Provider Information

NPI Number: 1306019856
Entity Type: Organization
Organization Name: Lanny C. Pelliccia Dpm
Primary Specialty: Podiatrist
Enumeration Date: Apr 4, 2008
Last Updated: Apr 4, 2008

Practice Location

Address: 270 PIERCE ST
Address 2: STE 301
City: Kingston
State: Pennsylvania
ZIP Code: 18704-5141
Phone: (570) 283-3668

Authorized Official

Name: LANNY C PELLICCIA, DPM
Title: OWNER
Phone: (570) 283-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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