Provider Demographics
NPI:1568641504
Name:BARSZCZ, LAUREN (PT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BARSZCZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 WINCHESTER DR
Mailing Address - Street 2:MARION MANOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-4039
Mailing Address - Country:US
Mailing Address - Phone:412-563-1244
Mailing Address - Fax:
Practice Address - Street 1:2695 WINCHESTER DR
Practice Address - Street 2:MARION MANOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-4039
Practice Address - Country:US
Practice Address - Phone:412-563-1244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001780E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00440868OtherRAILROAD MEDICARE
PAP00440868OtherRAILROAD MEDICARE