Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | OS005325L | PA |
Y | 207RI0011X | Interventional Cardiology | OS005325L | PA |
NPI | 1063412955 |
---|---|
Provider Name | David M. Lasorda |
First Address | Pittsburgh, PA 15212-4740 |
Second Address | Pittsburgh, PA 15212-4740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012080690005 | (05) | PA |
0086892000 | (05) | WV |
2444117 | (05) | OH |
E55615 | (02) | PA |