Provider Demographics
NPI:1457389348
Name:LEASE, JAMES A (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:LEASE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:1701 INNOVATION DRIVE
Mailing Address - Street 2:CLINICAL LAB, LOWER LEVEL
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-8815
Mailing Address - Country:US
Mailing Address - Phone:717-843-8623
Mailing Address - Fax:717-849-5382
Practice Address - Street 1:1701 INNOVATION DRIVE
Practice Address - Street 2:CLINICAL LAB, LOWER LEVEL
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-8815
Practice Address - Country:US
Practice Address - Phone:717-843-8623
Practice Address - Fax:717-849-5382
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005791AL207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20047599OtherAMERIHEALTH MERCY-GH
PA001249179Medicaid
PA1543727OtherGATEWAY
PA688968OtherHIGHMARK BLUE SHIELD
PA0523639000OtherAMERIHEALTH 65 PA-GH
PA1543727OtherGATEWAY-GH
PA50067142OtherCAPITAL BLUE CROSS-GH
PA50299OtherGEISINGER-GH
PA416791OtherUPMC HEALTH PLAN
PA688968OtherHIGHMARK BLUE SHIELD-GH
PA688968GVQMedicare PIN
PA001249179Medicaid
PA1543727OtherGATEWAY-GH