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NPI Code Detail

MEDICARE: LENY VANESSA BERNARDO-POLLOCK PA-C

MEDICARE:   LENY VANESSA  BERNARDO-POLLOCK  PA-C
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
1363A00000XPhysician AssistantC0010122MD

General Provider Information

NPI Number : 1063227742
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENY VANESSA BERNARDO-POLLOCK PA-C
Provider Business Mailing Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-215-6310
Fax Number : 240-566-7754
Provider Business Practice Location Address
First Line : 1562 OPOSSUMTOWN PIKE
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4920
Country : US
Telephone Number : 240-215-6310
Fax Number : 240-566-7754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 01/07/2026

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Directions to “ LENY VANESSA BERNARDO-POLLOCK PA-C” Practice Location

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