| Organization Name: | MAMERTO M LEBITA AND FUZEN CHANG PTRS |
| NPI Number: | 1861701542 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAKAMBINI D. RECLA (PEDIATRICIAN) |
| Mailing Address: | 5904 Chichester Ave Aston |
| State: | PA US |
| Postal Code: | 190142327 |
| Phone Number: | 6104592373 |
| Fax Number: | 6108741337 |
| NPI Enumeration Date: | 09/29/2010 |
| NPI Last Update Date: | 09/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD028559E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |