MEDICARE: LORI A STIEFEL 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	207Q00000X	Family Medicine Physician	MD048307L	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	:	1639141203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI A STIEFEL MD

Provider Business Mailing Address
First Line	:	5215 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232
Country	:	US
Telephone Number	:	412-623-2287
Fax Number	:	412-623-6629

Provider Business Practice Location Address
First Line	:	5215 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232
Country	:	US
Telephone Number	:	412-623-2287
Fax Number	:	412-623-6629

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	09/06/2021

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