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NPI Code Detail

MEDICARE: DR. JODI WASHINSKY LENKO MD

MEDICARE:  DR. JODI WASHINSKY LENKO  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
1207R00000XInternal Medicine PhysicianMT190695PA
2207R00000XInternal Medicine PhysicianMD437983PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124226907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODI WASHINSKY LENKO MD
Provider Business Mailing Address
First Line : PO BOX 783311
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-3311
Country : US
Telephone Number : 484-884-4500
Fax Number : 484-884-0699
Provider Business Practice Location Address
First Line : 1000 ALLIANCE DR
Second Line :
City : HAZLETON
State : PA
Zip : 18202-3234
Country : US
Telephone Number : 570-459-2226
Fax Number : 570-459-2511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 02/13/2020

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Directions to “ DR. JODI WASHINSKY LENKO MD” Practice Location

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