Individual
LEA BACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2575 BOYCE PLAZA RD, PITTSBURGH, PA 15241-3925
(888) 697-3432
Mailing address
95 LEONARD AVE BLDG 2, WASHINGTON, PA 15301-3368
(724) 223-3100
(724) 223-3353
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN594370
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016345
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP034487
PA
Other
Enumeration date
06/17/2016
Last updated
01/13/2026
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