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NPI Code Detail

MEDICARE: KELLI LYNNE LEJA FNP-C

MEDICARE:   KELLI LYNNE LEJA  FNP-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
1363LF0000XFamily Nurse PractitionerSP022198PA

General Provider Information

NPI Number : 1558971887
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI LYNNE LEJA FNP-C
Provider Business Mailing Address
First Line : 4003 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1337
Country : US
Telephone Number : 724-201-6970
Fax Number : 877-384-3106
Provider Business Practice Location Address
First Line : 4003 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1337
Country : US
Telephone Number : 724-201-6970
Fax Number : 877-384-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2020
Last Update Date : 05/02/2025

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Directions to “ KELLI LYNNE LEJA FNP-C” Practice Location

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