Individual
DR. JESSICA LANE VALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5124 LIBERTY AVE, PITTSBURGH, PA 15224-2257
(412) 315-3800
(412) 315-3801
Mailing address
5124 LIBERTY AVE, PITTSBURGH, PA 15224-2257
(412) 315-3800
(412) 315-3801
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD449387
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001679
CAQH
—
05
—
102975540
—
PA
Enumeration date
11/18/2013
Last updated
12/01/2020
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