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NPI Code Detail

MEDICARE: ALIVIA LORYN ROBERTS MD

MEDICARE: ALIVIA LORYN ROBERTS MD
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
1390200000XStudent in an Organized Health Care Education/Training Program390200000XPA

General Provider Information

NPI Number : 1518809748
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIVIA LORYN ROBERTS MD
Provider Business Mailing Address
First Line : 3600 FORBES AVE STE 140
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-3410
Country : US
Telephone Number : 570-321-2345
Fax Number :
Provider Business Practice Location Address
First Line : 740 HIGH ST STE 4001
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-3111
Country : US
Telephone Number : 570-321-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ ALIVIA LORYN ROBERTS MD” Practice Location

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