Healthcare Provider Details

I. General information

NPI: 1144667205
Provider Name (Legal Business Name): LESTER F. SHAPIRO, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 05/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 LINCOLN WAY
WHITE OAK PA
15131-1721
US

IV. Provider business mailing address

1501 LINCOLN WAY
WHITE OAK PA
15131-1721
US

V. Phone/Fax

Practice location:
  • Phone: 412-672-9171
  • Fax: 412-672-5615
Mailing address:
  • Phone: 412-672-9171
  • Fax: 412-672-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: LESTER F. SHAPIRO
Title or Position: OWNER
Credential: M.D.
Phone: 412-672-9171