Organization
LYNN A. COLAIACOVO, M.D., P.C.
Active
Other names
Lynn A. Colaiacovo, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN ANNE COLAIACOVO M.D. (OWNER)
(724) 983-1820
Entity
Organization
Contact information
Practice address
2501 SHENANGO VALLEY FWY, SUITE 1, HERMITAGE, PA 16148-2536
(724) 983-1820
(724) 983-1822
Mailing address
2501 SHENANGO VALLEY FWY, SUITE 1, HERMITAGE, PA 16148-2536
(724) 983-1820
(724) 983-1822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD057934L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012207090001
—
PA
01
—
DD0239
RAILROAD MEDICARE
PA
Enumeration date
07/17/2006
Last updated
08/22/2020
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