Healthcare Provider Details

I. General information

NPI: 1851345532
Provider Name (Legal Business Name): LAUREN D LOYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 10/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 CENTRE AVE
PITTSBURGH PA
15232-1303
US

IV. Provider business mailing address

5215 CENTRE AVE
PITTSBURGH PA
15232-1303
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-2287
  • Fax: 412-623-6629
Mailing address:
  • Phone: 412-623-2287
  • Fax: 412-623-6629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD424394
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: