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Individual

LEE TERESA DIRIENZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4324 GLADES PIKE, SOMERSET, PA 15501-1143
(814) 445-4585
(814) 443-2642
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055442
PA

Other

Enumeration date
03/02/2012
Last updated
02/22/2016
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