Active NPI
Amanda Lezanski-Gujda, D.O.
- Dermatology Physician
- Haverford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS025844
- Practice address
- 569 W Lancaster Ave
Haverford, PA 19041-1416 - Phone
- (610) 525-5250
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS025844 | PA | Primary |
Addresses
Primary practice location
569 W Lancaster Ave
Haverford, PA 19041-1416
Mailing address
569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (601) 525-5250
Other names 1
- Amanda Lezanski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Rowan University School of Osteopathic Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6849 Old Dominion Dr
Suite 450
MC Lean, VA 22101-3718
Phone (703) 356-5111
9812 Falls Rd
Suite 124
Potomac, MD 20854-3976
Phone (703) 356-5111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 20 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 187 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204303 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLean Dermatology and Skincare Center | Current | Accepting new patients | |
| Potomac Dermatology and Skincare Center | Dermatology | Current | Accepting new patients |
Locations
9812 Falls Rd
Ste 124
Potomac, MD 20854
Phone (703) 356-1111
6849 Old Dominion Dr
McLean, VA 22101
Phone (571) 730-6260
6849 Old Dominion Dr
Ste 450
McLean, VA 22101
Phone (703) 356-5111
Interoperability endpoints
- drjcutler@cutlereye.direct.eyemdemr.com
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1760809891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 W LANCASTER AVE",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411416",
"telephone_number": "601-525-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 W LANCASTER AVE",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411416",
"telephone_number": "610-525-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZANSKI-GUJDA",
"first_name": "AMANDA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "OS025844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LEZANSKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Haverford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.