MEDICARE: SAMANTHA LECCE

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	363L00000X	Nurse Practitioner	SP034692	PA

General Provider Information

NPI Number	:	1932062064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA LECCE

Provider Business Mailing Address
First Line	:	109 MOONBEAM CIR
Second Line	:
City	:	HAWLEY
State	:	PA
Zip	:	18428-9665
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	273 GRANDVIEW AVE STE 4
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-1163
Country	:	US
Telephone Number	:	570-390-4545
Fax Number	:

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

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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