Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS037452 | PA |
Y | 213EG0000X | General Practice | DS037452 | PA |
NPI | 1003078239 |
---|---|
Provider Name | Dr. Leigh Ann Zanetti Cagni |
First Address | Butler, PA 16001-2418 |
Second Address | Butler, PA 16001-2418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2008 |
Last Update Date | 29/11/2011 |