Individual
MR. PATRICK LELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
Mailing address
320 WHEATSTONE LN, LEBANON, PA 17042-7672
(570) 954-4351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059459
PA
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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