| Lenz Kruljac Distazio Dpms | |
|
495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 | |
| (412) 461-1108 | |
| (412) 461-5490 |
| Full Name | Lenz Kruljac Distazio Dpms |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 495 Waterfront Dr E, Homestead, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710911912 | NPI | - | NPPES |
| 1366414088 | Other | PA | INDIVIDUAL NPI JOHN DISTAZIO |
| 1972582476 | Other | PA | INDIVIDUAL NPI KATHLEEN O'CONNELL |
| T30166 | Other | PA | UPIN WILLIAM LENZ |
| 1861464836 | Other | PA | INDIVIDUAL NPI STEPHEN KRULJAC |
| 1760454326 | Other | PA | INDIVIDUAL NPI WILLIAM LENZ |
| 455619 | Other | PA | BLUE SHIELD PROVIDER NUMBER |
| T28597 | Other | PA | UPIN STEPHEN KRULJAC |
| T29930 | Other | PA | UPIN JOHN DISTAZIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lenz Kruljac Distazio Dpms 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 Ph: (412) 461-1108 | Lenz Kruljac Distazio Dpms 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 Ph: (412) 461-1108 |
Kathleen M Oconnell Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
Stanley D Bosta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-325-0397 Fax: 412-461-5490 | |
Stephen J Kruljac, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 495 East Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
Sara Sadeghi, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
John J Distazio, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 495 E Waterfront Drive, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
John J Distazio, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 495 Waterfront Dr E, Suite 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 | |
Anna Doan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 495 E Waterfront Dr Ste 230, Homestead, PA 15120 Phone: 412-461-1108 Fax: 412-461-5490 |