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NPI Code Detail

MEDICARE: MADALYN MARIE LUTZ LAGNESE DO

MEDICARE:   MADALYN MARIE LUTZ LAGNESE  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramPA
22080N0001XNeonatal-Perinatal Medicine PhysicianOS022850PA

General Provider Information

NPI Number : 1699394551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALYN MARIE LUTZ LAGNESE DO
Provider Business Mailing Address
First Line : 4401 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1334
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1334
Country : US
Telephone Number : 412-692-6851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 03/09/2026

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Directions to “ MADALYN MARIE LUTZ LAGNESE DO” Practice Location

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