person
Dr. Lanny C Pelliccia, DPM
Podiatrist in Kingston, Pennsylvania
NPI 1114922648

Lanny C Pelliccia is a Podiatrist based in Kingston, PA. Lanny C Pelliccia practices in Kingston, PA and has the professional credentials of DPM. The NPI Number for Lanny C Pelliccia is 1114922648 and holds a License No. SC-003688-L (Pennsylvania).

The current practice location address for Lanny C Pelliccia is 270 Pierce St, Kingston, PA and can be reached out via phone at 570-283-3668 and via fax at 570-283-0309.

Location: 270 Pierce St, Kingston, PA, 18704-5141
person
Provider Profile Details
NPI Number
1114922648
Provider Name
Lanny C Pelliccia
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
270 Pierce St, Kingston, PA, 18704-5141
Phone Number
570-283-3668
Fax Number
570-283-0309
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U27800 01 HEALTH ASSURANCE
05152 01 EMPIRE BC/BS
232635090 001 01 TRICARE / CHAMPUS
4532974 01 AETNE / PPO
G09847 01 AMERIHEALTH
075903 01 PA FIRST PRIORITY HEALTH
611664 01 TRIGON / MEDIGAP
PE709847 01 PA BLUE CROSS / BLUE SHIELD
001285747/0002 05 PA
1502456 01 UNITED MINE WORKERS
26464 01 PA GEISINGER HEALTH PLAN
P3179662 01 OXFORD
150228 01 GATEWAY
0528845 01 AETNA / HMO
76219 01 MEDPLUS
institution
Provider Business Practice Location Address Details
Address
270 Pierce St
City
State
Zip
18704-5141
Phone Number
570-283-3668
Fax Number
570-283-0309
person
Provider Business Mailing Address Details
Address
270 Pierce St
City
State
Zip
18704-5141
Phone Number
570-283-3668
Fax Number
570-283-0309
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
SC-003688-L (Pennsylvania)
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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