Healthcare Provider Details
I. General information
NPI: 1427002088
Provider Name (Legal Business Name): LILLIAN L EMLET MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 HALKET ST
PITTSBURGH PA
15213-3108
US
IV. Provider business mailing address
200 LOTHROP ST
PITTSBURGH PA
15213-2546
US
V. Phone/Fax
- Phone: 412-647-3136
- Fax: 412-647-8060
- Phone: 412-647-3087
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VC0200X |
| Taxonomy | Critical Care Medicine (Obstetrics & Gynecology) Physician |
| License Number | MD424695 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: