Provider Demographics
NPI:1710376546
Name:LLOYD K. RICHLESS MD PC
Entity Type:Organization
Organization Name:LLOYD K. RICHLESS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VARRATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-793-9646
Mailing Address - Street 1:251 SEVENTH ST
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6534
Mailing Address - Country:US
Mailing Address - Phone:724-335-6662
Mailing Address - Fax:724-335-3010
Practice Address - Street 1:251 SEVENTH ST
Practice Address - Street 2:SUITE 201B
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6534
Practice Address - Country:US
Practice Address - Phone:724-335-6662
Practice Address - Fax:724-335-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027711E208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty