Provider Demographics
NPI:1376781971
Name:LIGENZA, DEANNA (DO)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:
Last Name:LIGENZA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:TECHENTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6887 SUNFLOWER LANE
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062
Mailing Address - Country:US
Mailing Address - Phone:610-421-8235
Mailing Address - Fax:
Practice Address - Street 1:6887 SUNFLOWER LANE
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062
Practice Address - Country:US
Practice Address - Phone:610-421-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009499L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine