Weidner, Lisa A

Weidner, Lisa A is an sole proprietor health care provider with primary practice located at 320 E North Ave , Pittsburgh PA 15212-4756. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Weidner, Lisa A can be contacted via phone (412) 359-3005.

Contact Information

Primary practice address
320 E North Ave Pittsburgh PA 15212-4756
Phone: (412) 359-3005
Fax: (412) 359-3006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD027751E Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD027751E Pennsylvania

Profile Details

NPI number 1134115223
LBN Legal business name Weidner, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Jul 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134115223 NPPES
Pennsylvania MEDICAID 001540385
Pennsylvania Other 10968521

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