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NPI Code Detail

MEDICARE: DR. LISA A PAWELSKI M.D.

MEDICARE:  DR. LISA A PAWELSKI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician047262LPA
2207NS0135XProcedural Dermatology Physician047262LPA
3207NP0225XPediatric Dermatology Physician047262LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1058524OTHERPAHIGHMARK BCBS

General Provider Information

NPI Number : 1457484560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA A PAWELSKI M.D.
Provider Business Mailing Address
First Line : 3424 WILLIAM PENN HIGHWAY
Second Line : PENN CENTER EAST BLDG 2 SUITE 221
City : PITTSBURGH
State : PA
Zip : 15235-5411
Country : US
Telephone Number : 412-824-9600
Fax Number :
Provider Business Practice Location Address
First Line : 3424 WILLIAM PENN HIGHWAY
Second Line : PENN CENTER EAST BLDG 2 SUITE 221
City : PITTSBURGH
State : PA
Zip : 15235-5411
Country : US
Telephone Number : 412-824-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 03/28/2012

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