MEDICARE: LEXI ANN SERPA 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
1	363A00000X	Physician Assistant	MA062290	PA
2	363A00000X	Physician Assistant	OA005539	PA

General Provider Information

NPI Number	:	1346830601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXI ANN SERPA PA-C

Provider Business Mailing Address
First Line	:	1211 WILMINGTON AVE
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-2516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 FORBES AVE STE 10040
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3214
Country	:	US
Telephone Number	:	412-719-4250
Fax Number	:

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

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	12/09/2021

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Directions to “ LEXI ANN SERPA PA-C” Practice Location

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