LYANNE MARIE CARABALLO PA NPI 1003394545

NPI Information

NPI: 1003394545
Provider Name: LYANNE MARIE CARABALLO, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1000 INTEGRITY DR STE 110
PITTSBURGH, PA
ZIP 15235
Phone: (412) 342-0036
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Lyanne Marie Caraballo, PA is a medical physician assistant in Pittsburgh, PA. Lyanne Marie Caraballo, PA NPI is 1003394545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 INTEGRITY DR STE 110
PITTSBURGH, PA
ZIP 15235-332
Phone: (412) 342-0036
Fax: (412) 342-0041

The NPI 1003394545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2018 and was last updated on 10/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	PA9111440	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	PA9111440	PENNSYLVANIA	Yes
3	363AM0700X	Physician Assistant	Medical			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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