Provider Demographics
NPI:1932331618
Name:GALLUCCI, LEAH M (DC)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:M
Last Name:GALLUCCI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2726
Mailing Address - Country:US
Mailing Address - Phone:814-244-7000
Mailing Address - Fax:
Practice Address - Street 1:8199 MCKNIGHT RD STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5749
Practice Address - Country:US
Practice Address - Phone:412-364-9699
Practice Address - Fax:412-364-5172
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010131111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist