Individual
MICHAEL LOUIS LESCANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
Mailing address
2459 HICKORY HILL DR, STATE COLLEGE, PA 16803-3362
(814) 234-4537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD038625E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011221890005
—
PA
01
—
02990101
KEYSTONE HEALTH PLAN CENT
PA
01
—
63183
HIGHMARK BLUE SHIELD
PA
01
—
8733991B
GEISINGER HEALTH PLAN
PA
01
—
LEO63183
CHAMPUS
PA
Enumeration date
09/16/2006
Last updated
10/13/2011
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