Lawrence John Fatica, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DL016908 Issued in PA

Practice address

2702 Zuck Rd
Erie, PA 16506-3174

Phone

(814) 833-3535

Fax

(814) 833-3492

NPI assigned

Aug 28, 2007

Sex

Male

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1255525796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063174",
            "telephone_number": "814-833-3535",
            "fax_number": "814-833-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063174",
            "telephone_number": "814-833-3535",
            "fax_number": "814-833-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATICA",
        "first_name": "LAWRENCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DL016908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Farris, DO
• Fast Care Lab Services LLC
• Frank A Fatica, DO
• Karen Lynn Fatica, SLP
• Kathleen Fatica, RN
• Mandy Ann Fauble, LCSW
• Anita Faulhaber
• Rebecca Faust, M.A., CCC-SLP
• Mary Federowicz, LPC
• Ashley Eileen Fedor, MA, NCC, LPC

• Dentist in Erie, PA
• Providers in Erie, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.