Dr. Lucyndia Rose Marino
Pediatrician
130 Classic Ln
New Castle
, Pennsylvania 16105-5304
Dr. Lucyndia Rose Marino
Pediatrician
130 Classic Ln
New Castle
, Pennsylvania 16105-5304
(724) 654-1461
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Lucyndia Rose Marino
- 130 Classic Ln
- New Castle, PA
- Zip : 16105-5304
- Phone : (724) 654-1461
Second Address
- Dr. Lucyndia Rose Marino
- 130 Classic Ln
- New Castle, PA
- Zip : 16105-5304
- Phone : (724) 654-1461
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | MD070499L | PA |
National Provider Identifier
| NPI | 1003462797 |
|---|---|
| Provider Name | Dr. Lucyndia Rose Marino |
| First Address | New Castle, PA 16105-5304 |
| Second Address | New Castle, PA 16105-5304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2019 |
| Last Update Date | 18/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MD070499L | ACTIVE RETIRED LICENSE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.