MR. PATRICK LELLO (NPI# 1205347481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205347481 |
| Entity Type | Individual |
| Full Name | MR. PATRICK LELLO |
| Credential | PA-C |
| Practice Address |
755 Norman Dr Lebanon PA 17042-7497 |
| Mailing Address |
320 Wheatstone Ln Lebanon PA 17042-7672 |
| Practice Telephone | 7172736706 |
| Mailing Telephone | 5709544351 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059459 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
755 NORMAN DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330718 | Ernesto Gutierrez | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-07-18 |
| 1962910372 | Gwendolyn Sumter-davis | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2018-01-19 |
| 1912418146 | Katie Nicole Dresch | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1467974139 | Maria Huffman | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-07-13 |
| 1134534571 | Joji James | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2014-06-24 |
| 1891078937 | Danielle L. Poltersdorf | Physician Assistant | 755 Norman Dr, Credentials Dept, Lebanon, PA 17042-7497 | 2011-09-26 |
| 1245563436 | Adeel Ahmed Siddiqui | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-09-07 |
| 1942439260 | Georgett Zaki | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-07-08 |
| 1861636995 | Esther Voynow | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-04-20 |
| 1134342496 | Adam J Albert | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1841843174 | Jesse Paul Laughner | Physician Assistant | 735 Norman Dr Ste 8, Lebanon, PA 17042-7559 | 2019-07-16 |
| 1881868750 | Oronzo Ronald Schiraldi | Physician Assistant | 7 Deer Run, Lebanon, NJ 08833-3004 | 2008-04-22 |
| 1740211788 | Tammie Wampler | Physician Assistant | 107 Glidepath Way, Lebanon, TN 37090-4133 | 2006-07-06 |
| 1487610069 | Erin Mcculloch Crisp | Physician Assistant | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-04-24 |
| 1023013620 | Richard B Halbur | Physician Assistant | 191 N Main St, Lebanon, OR 97355-2870 | 2005-06-20 |
| 1326679366 | Joshua Christopher Schirripa | Physician Assistant | 675 N 5th St Ste 200, Lebanon, OR 97355-2875 | 2020-01-29 |
| 1245878420 | Lauren Michelle Eastman | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1164079091 | Sarah A Muse | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2019-08-26 |
| 1356812291 | David Lawrence Federoff | Physician Assistant | 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985 | 2018-12-17 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.