MEDICARE: LILLIAN B GATTONE 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

General Provider Information

NPI Number	:	1790836716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN B GATTONE PA-C

Provider Business Mailing Address
First Line	:	1241 BLAKESLEE BOULEVARD DR E
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-2401
Country	:	US
Telephone Number	:	570-386-6900
Fax Number	:	570-386-6901

Provider Business Practice Location Address
First Line	:	1241 BLAKESLEE BOULEVARD DR E
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-2401
Country	:	US
Telephone Number	:	570-386-6900
Fax Number	:	570-386-6901

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	10/13/2025

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Directions to “ LILLIAN B GATTONE PA-C” Practice Location

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