Individual
LEE MCDONALD DEFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
62 INDUSTRIAL PARK RD, LAKE ARIEL, PA 18436-5606
(570) 689-7565
(570) 689-4803
Mailing address
1837 FAIR AVE, HONESDALE, PA 18431-2121
(570) 253-5838
(570) 253-6678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009466
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025941780001
—
PA
05
—
1025941780002
—
PA
05
—
1025941780003
—
PA
05
—
1025941780004
—
PA
Enumeration date
10/19/2007
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us