DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1326771973

NPI Code Detail

MEDICARE: IAN LAGERSTROM MD

MEDICARE: IAN LAGERSTROM 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1326771973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN LAGERSTROM MD

Provider Business Mailing Address
First Line	:	3600 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	724-369-3043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	04/06/2026

Similar Medicare Providers

1649111469 — MORGAN BLAIRE GLASSER
Practice Location Address:

200 LOTHROP ST
PITTSBURGH, PA
15213-2536

Practice Phone: 412-647-8762
Practice Fax:

1114868734 — KYLE KENYON MD
Practice Location Address:

200 LOTHROP ST
PITTSBURGH, PA
15213-2536

Practice Phone: 412-647-3333
Practice Fax:

1477494003 — TRENTON JOHN HUSICK MD
Practice Location Address:

200 LOTHROP ST
PITTSBURGH, PA
15213-2536

Practice Phone: 412-647-3333
Practice Fax:

1487221321 — ZUHAIR HAWA
Practice Location Address:

200 LOTHROP ST STE B400
PITTSBURGH, PA
15213-2536

Practice Phone: 412-647-3685
Practice Fax:

1861334310 — ELENA PUCCIO MD
Practice Location Address:

200 LOTHROP ST
PITTSBURGH, PA
15213-2536

Practice Phone: 412-647-3333
Practice Fax:

1346878121 — ROGER KAYALEH M.D.
Practice Location Address:

200 LOTHROP ST
PITTSBURGH, PA
15213-2536

Practice Phone: 412-647-2345
Practice Fax:

Directions to “ IAN LAGERSTROM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.