Individual
THEODORE J LENGYEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1822 MULBERRY ST, SCRANTON, PA 18510
(570) 346-7797
(570) 342-9802
Mailing address
PO BOX 797, SCRANTON, PA 18501
(570) 346-7797
(570) 342-9802
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
051196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017099050001
—
PA
Enumeration date
01/25/2006
Last updated
04/02/2008
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