Organization · Type 2 NPI

Integrated Foot and Ankle Specialists of PA LLC

Podiatric Clinic/Center · Lancaster, PA

NPI number 1073379079 Active

Practice location

300 Granite Run Dr Ste 160
Lancaster, PA 17601-6819

Call (717) 560-4310 Map

Mailing address

50 S 16th St Fl 17
Philadelphia, PA 19102-3530

Specialties and licenses

Taxonomy	Code	License
Podiatric Clinic/Center Primary	261QP1100X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Podiatric Clinic/Center: Definition to come...

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NPI record

NPI: 1073379079
Entity type: Organization (Type 2)
Issued: Feb 27, 2024
Last updated: Feb 28, 2024
Status: Active
Subpart: Yes of Integrated Foot and Ankle Specialists of PA LLC

Other names

Lancaster Podiatry Center · doing business as

Authorized official

Teresa Leonarda Ciaccio
Chief Operating Officer
(516) 993-8666

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073379079

Integrated Foot and Ankle Specialists of PA LLC's National Provider Identifier is 1073379079, issued on Feb 27, 2024. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Lancaster, PA. The record was last updated on Feb 28, 2024.