MEDICARE: DR. JEFFREY DAVID LEMBERG 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	208100000X	Physical Medicine & Rehabilitation Physician	MD035695E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467450544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY DAVID LEMBERG MD

Provider Business Mailing Address
First Line	:	PO BOX 598
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-0598
Country	:	US
Telephone Number	:	412-622-4314
Fax Number	:	412-622-4882

Provider Business Practice Location Address
First Line	:	100 DELAFIELD RD
Second Line	:	SUITE 103
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3247
Country	:	US
Telephone Number	:	412-622-4313
Fax Number	:

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	01/20/2022

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