MEDICARE: DR. LACY SMIESKO DC

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	237700000X	Hearing Instrument Specialist	F03909	PA
2	111N00000X	Chiropractor	DC011341	PA

General Provider Information

NPI Number	:	1912406299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LACY SMIESKO DC

Provider Business Mailing Address
First Line	:	11616 FRANKSTOWN RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3319
Country	:	US
Telephone Number	:	412-704-5053
Fax Number	:

Provider Business Practice Location Address
First Line	:	11616 FRANKSTOWN RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3319
Country	:	US
Telephone Number	:	412-704-5053
Fax Number	:

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

Provider Enumeration Date	:	02/01/2018
Last Update Date	:	11/22/2025

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Directions to “ DR. LACY SMIESKO DC” Practice Location

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