Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD451389 | PA |
NPI | 1023246840 |
---|---|
Provider Name | Amber Van Laar |
First Address | Pittsburgh, PA 15213-3301 |
Second Address | Pittsburgh, PA 15213-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 24/05/2021 |