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NPI Code Detail

MEDICARE: LYNDIA STAUFFER PT

MEDICARE:   LYNDIA  STAUFFER  PT
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
1225100000XPhysical TherapistPT010761LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1462117OTHERPAHIGHMARK

General Provider Information

NPI Number : 1811996721
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDIA STAUFFER PT
Provider Business Mailing Address
First Line : 1638 TIFFANY RDG
Second Line :
City : PITTSBURGH
State : PA
Zip : 15241-3236
Country : US
Telephone Number : 412-777-6231
Fax Number : 412-777-6528
Provider Business Practice Location Address
First Line : 30 HECKEL RD
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1652
Country : US
Telephone Number : 412-777-6231
Fax Number : 412-777-6528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 07/08/2007

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