Individual
DR. SANDRA LEE PENSIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1155 E MOUTAIN BLVD, WILKES BARRE, PA 18711-7906
(570) 808-3362
(570) 808-5114
Mailing address
270 S RIVER ST, PLAINS, PA 18705-1191
(570) 829-4711
(570) 283-1707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-002479-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956631
—
PA
Enumeration date
06/25/2006
Last updated
06/24/2020
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