MEDICARE: DR. LUCAS JONATHAN BITSKO MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1932802766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCAS JONATHAN BITSKO MD

Provider Business Mailing Address
First Line	:	3600 FORBES AVENUE FORBES TOWER PLAZA LEVEL SUITE 140
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213
Country	:	US
Telephone Number	:	412-647-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-4606
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	07/13/2024

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