Lana Grzybicki, DPM
Podiatrist in Old Forge, PA. Individual provider (NPI-1).
NPI number1790737765
StatusActive
Last updated in NPPESOct 19, 2010
Details
- NPI
- 1790737765
- Entity type
- Individual (NPI-1)
- Name
- Lana Grzybicki
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2006
- Last updated
- Oct 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | SC003236L | PA | Yes |
Practice location
429 S Main StSte 2
Old Forge, PA 18518-1684
Phone 570-457-1733 · Fax 570-457-1734
Mailing address
429 S Main StSte 2
Old Forge, PA 18518-1684
Phone 570-457-1733 · Fax 570-457-1734
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