Organization
LANNY C. PELLICCIA DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANNY C PELLICCIA DPM (OWNER)
(570) 283-3668
Entity
Organization
Contact information
Practice address
270 PIERCE ST, STE 301, KINGSTON, PA 18704-5141
(570) 283-3668
(570) 283-0309
Mailing address
270 PIERCE ST, STE 301, KINGSTON, PA 18704-5141
(570) 283-3668
(570) 283-0309
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-003688-L
PA
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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