Individual
SALVATORE LANASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
126 E CHURCH ST STE 3200, SOMERSET, PA 15501-2273
(814) 443-2100
(814) 443-2112
Mailing address
329 S PLEASANT AVE, SOMERSET, PA 15501-2262
(814) 445-3575
(814) 445-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20627
WV
208600000X
Surgery Physician
Primary
MD040204L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015083500028
—
PA
01
—
002047198
HIGHMARK BLUE SHIELD
PA
05
—
1000229000
—
WV
01
—
710929
MEDICARE
PA
01
—
CI6140
RAILROAD MEDICARE
PA
Enumeration date
08/18/2006
Last updated
01/08/2018
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