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NPI Code Detail

MEDICARE: TIMOTHY G LESACA MD

MEDICARE: TIMOTHY G LESACA 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
12084P0800XPsychiatry PhysicianMD038624EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2406805OTHERPAHIGHMARK

General Provider Information

NPI Number : 1245229608
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY G LESACA MD
Provider Business Mailing Address
First Line : 180 FORT COUCH RD STE 304
Second Line :
City : PITTSBURGH
State : PA
Zip : 15241-1041
Country : US
Telephone Number : 412-831-0355
Fax Number : 412-854-5152
Provider Business Practice Location Address
First Line : 180 FORT COUCH RD STE 304
Second Line :
City : PITTSBURGH
State : PA
Zip : 15241-1041
Country : US
Telephone Number : 412-831-0355
Fax Number : 412-854-5152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 02/13/2025

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Directions to “ TIMOTHY G LESACA MD” Practice Location

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