MEDICARE: LISA MARIE SANTUCCI 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	OA002718	PA

General Provider Information

NPI Number	:	1720235773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MARIE SANTUCCI PA-C

Provider Business Mailing Address
First Line	:	970 FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3100
Country	:	US
Telephone Number	:	412-325-5000
Fax Number	:	412-696-0381

Provider Business Practice Location Address
First Line	:	970 FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3100
Country	:	US
Telephone Number	:	412-325-5000
Fax Number	:	412-696-0381

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

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	08/21/2025

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Directions to “ LISA MARIE SANTUCCI PA-C” Practice Location

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