Gina Lucia Iacoboni
Family Doctor Surgical Oncologist
5230 Centre Ave
Pittsburgh
, Pennsylvania 15232-1304
Gina Lucia Iacoboni
Family Doctor Surgical Oncologist
5230 Centre Ave
Pittsburgh
, Pennsylvania 15232-1304
(724) 812-1795
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About
Features
Specialties
- Family Doctor
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Gina Lucia Iacoboni
- 214 Vernon St
- Belle Vernon, PA
- Zip : 15012-1822
- Phone : (724) 812-1795
Second Address
- Gina Lucia Iacoboni
- 5230 Centre Ave
- Pittsburgh, PA
- Zip : 15232-1304
- Phone : (412) 623-2121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | OA005430 | PA |
| Y | 2086X0206X | Surgical Oncologist | MA062097 | PA |
National Provider Identifier
| NPI | 1164017307 |
|---|---|
| Provider Name | Gina Lucia Iacoboni |
| First Address | Belle Vernon, PA 15012-1822 |
| Second Address | Pittsburgh, PA 15232-1304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2021 |
| Last Update Date | 29/09/2021 |
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.