Individual
DR. MARK R. LODICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 STONEWOOD DR, SUITE 151, WEXFORD, PA 15090-7376
(724) 933-0300
Mailing address
7000 STONEWOOD DR, STE. 151, WEXFORD, PA 15090
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD047135L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
27284
WV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD047135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012859990001
—
PA
Enumeration date
02/28/2007
Last updated
08/24/2022
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