Healthcare Provider Details

I. General information

NPI: 1558274043
Provider Name (Legal Business Name): LEXIE KAY MENTO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 NORWIN AVE
IRWIN PA
15642-2718
US

IV. Provider business mailing address

1224A FRANK AVE
JEANNETTE PA
15644-1538
US

V. Phone/Fax

Practice location:
  • Phone: 724-804-1736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberMA067814
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: