Dr. Lanny C Pelliccia is a Kingston, Pennsylvania based male podiatrist who is specialized in Podiatry. Active license number of Dr. Lanny C Pelliccia for Podiatry is SC-003688-L in Pennsylvania. Dr. Lanny C Pelliccia is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Lanny C Pelliccia speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114922648
NPI Enumeration Date:
21 Jun, 2005
NPI Last Update On:
06 Dec, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lanny C Pelliccia are as mentioned below.
License Number
Specialization
State
Status
SC-003688-L
Podiatry
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lanny C Pelliccia such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
U27800
Other
HEALTH ASSURANCE
05152
Other
EMPIRE BC/BS
232635090 001
Other
TRICARE / CHAMPUS
4532974
Other
AETNE / PPO
G09847
Other
AMERIHEALTH
075903
Other
Pennsylvania
FIRST PRIORITY HEALTH
611664
Other
TRIGON / MEDIGAP
PE709847
Other
Pennsylvania
BLUE CROSS / BLUE SHIELD
001285747/0002
Medicaid
Pennsylvania
1502456
Other
UNITED MINE WORKERS
26464
Other
Pennsylvania
GEISINGER HEALTH PLAN
P3179662
Other
OXFORD
150228
Other
GATEWAY
0528845
Other
AETNA / HMO
76219
Other
MEDPLUS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
270 Pierce St, Ste 301 Kingston, Pennsylvania
Zip:
18704-5141
Phone Number:
570-283-3668
Fax Number:
570-283-0309
Patients can reach Dr. Lanny C Pelliccia at 270 Pierce St, Ste 301, Kingston, Pennsylvania or can call to book an appointment on 570-283-3668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.