Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEE MICHAEL CICCARELLI, M.D.
Active Sole ProprietorDR. LEE MICHAEL CICCARELLI, M.D. is a Specialist healthcare provider located in WILLIAMSPORT, Pennsylvania. NPI 1417909029 is currently active in the NPPES registry. Verify at CMS.
Specialist · WILLIAMSPORT, PA
Registration Details
- NPI Number
- 1417909029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.287307517293 yrs)
- Last Updated
- Jan 4, 2021
- Licenses
-
MD022616E (PA)MD022616E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
429 WASHINGTON BLVDWILLIAMSPORT, PA, 177015255Browse PA providers · Browse ZIP 17701
- Phone
- 5703279480
- Fax
- 5703279483
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Legal Medicine
Other Specialist Providers in WILLIAMSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN WHITNEY SAKOWSKI | MSPT | 1184687584 |
| MS. LISA M WOOTEN | MT-BC | 1710289533 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.