Individual
LANA GRZYBICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
429 S MAIN ST, STE 2, OLD FORGE, PA 18518-1684
(570) 457-1733
(570) 457-1734
Mailing address
429 S MAIN ST, STE 2, OLD FORGE, PA 18518-1684
(570) 457-1733
(570) 457-1734
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003236L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001451920003
—
PA
Enumeration date
05/17/2006
Last updated
10/19/2010
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