Mr Lance Destefano, PTA in Syracuse, NE

Mr Lance Destefano, PTA - Physical Therapist in Syracuse, NE

Mr Lance Destefano, PTA is a Physical Therapist - Geriatrics based in Syracuse, Nebraska. Mr Lance Destefano is licensed to practice in Nebraska (license number 827) and his current practice location is 1622 Walnut St, Syracuse, Nebraska. He can be reached at his office (for appointments etc.) via phone at (402) 269-2251.

NPI number for Mr Lance Destefano is 1780827998 and his current mailing address is 9785 Fowler Dr, Papillion, Nebraska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780827998.

Contact Information

	Mr Lance Destefano, PTA
	1622 Walnut St, Syracuse, NE 68446-7017
	(402) 269-2251
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Lance Destefano
Gender	Male
Speciality	Physical Therapist - Geriatrics
Location	1622 Walnut St, Syracuse, Nebraska
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1780827998
Provider Enumeration Date: 04/17/2009
Last Update Date: 04/17/2009

Medical Identifiers

Medical identifiers for Mr Lance Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780827998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	827 (Nebraska)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lance Destefano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Lance Destefano, PTA 9785 Fowler Dr, Papillion, NE 68046-4548 Ph: (402) 339-2410	Mr Lance Destefano, PTA 1622 Walnut St, Syracuse, NE 68446-7017 Ph: (402) 269-2251

Reviews and Comments

Physical Therapist in Syracuse, NE

James Frey, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1622 Walnut St, Syracuse, NE 68446 Phone: 402-269-2251
Nicole Marie Sleddens, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1622 Walnut St, Syracuse, NE 68446 Phone: 402-269-2251