Leslie Marie Lazore-Mack, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS012389 Issued in PA

Practice address

1903 Morgantown Rd
Reading, PA 19607

Phone

(610) 777-4040

Fax

(610) 777-5575

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1083709299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZORE-MACK",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirkland Lau, MD
• William Stanley Laubach, D.M.D.
• Tara Heintz Lawlor, D.O.
• Jane Ellen Lawrence, MS-CCC/SLP
• Nathan Lawyer, PA-C
• Le Petite Pharmacie Inc
• Carolyn A Leamer
• Leave the 99 for the One
• Jennifer Lynn Lebo, BS
• Stephanie M Lecatsas, MA

• Family Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.