MEDICARE: LINDSEY M PITCAVAGE CRNA

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	163W00000X	Registered Nurse	RN627808	PA
2	367500000X	Certified Registered Nurse Anesthetist	RN627808	PA

General Provider Information

NPI Number	:	1467978478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY M PITCAVAGE CRNA

Provider Business Mailing Address
First Line	:	4310 LONDONDERRY RD STE 1
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5302
Country	:	US
Telephone Number	:	717-782-5118
Fax Number	:	717-782-5854

Provider Business Practice Location Address
First Line	:	4310 LONDONDERRY RD STE 1
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5302
Country	:	US
Telephone Number	:	717-782-5118
Fax Number	:	717-782-5854

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

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	06/16/2025

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