Healthcare Provider Details

I. General information

NPI: 1902078637
Provider Name (Legal Business Name): LORI D HOMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9335 MCKNIGHT RD STE 240
PITTSBURGH PA
15237-5928
US

IV. Provider business mailing address

9335 MCKNIGHT RD STE 240
PITTSBURGH PA
15237-5928
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5588
  • Fax: 412-605-6544
Mailing address:
  • Phone: 412-578-5588
  • Fax: 412-605-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD456020
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: