Lebanon Avenue Medical Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007780L

Legal business name

LEBANON AVENUE MEDICAL CENTER PC

Practice address

6522 Lebanon Ave
Philadelphia, PA 19151-3325

Phone

(215) 473-2444

Fax

(215) 729-6046

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Darren Michael Lugiano, DC

Title

President

Phone

(215) 465-4465

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Paul Stickloon, D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1073447470
  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1164767117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 LEBANON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513325",
            "telephone_number": "215-473-2444",
            "fax_number": "215-729-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 LEBANON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513325",
            "telephone_number": "215-473-2444",
            "fax_number": "215-729-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON AVENUE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "LUGIANO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-465-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "DC007780L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Tara Leavitt, DMD
• Annette Susan Leavy, LCSW,MSW
• Benjamin Leavy, MSW, LSW
• Williamina Lebaga, ADMINISTRATOR/CEO
• Ashley Lebak, D.M.D.
• Kiersten Lebar, CRNP-AC
• Maria Lebedev, DO
• Ernest H Leber, MD
• Zakary Thomas Leblanc, D.C.
• Catherine Ashley Lebo, MSN, CRNP, FNP

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.