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LAURIE FOCACCI PA-C MPS NPI 1215054630


NPI Information

NPI: 1215054630
Provider Name: LAURIE FOCACCI, PA-C, MPS
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
701 N CLAYTON ST
MOB 401
WILMINGTON, DE
ZIP 19805
Phone: (302) 421-4800
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Laurie Focacci, PA-C, MPS is a surgical physician assistant in Wilmington, DE. Laurie Focacci, PA-C, MPS NPI is 1215054630. 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:

701 N CLAYTON ST
MOB 401
WILMINGTON, DE
ZIP 19805-165
Phone: (302) 421-4800
Fax: (302) 421-4189

The NPI 1215054630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 9/10/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalMA052669PENNSYLVANIANo
2363AS0400XPhysician AssistantSurgical008557-1NEW YORKNo
3363AS0400XPhysician AssistantSurgicalC5-0000525DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12120316000OTHERBLUE SHIELD PC
20001001202MEDICAIDDELAWARE
32120316000OTHERKEYSTONE
42935112OTHERAETNA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.