Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DS036555 | PA |
Y | 1223D0004X | Dentist Anesthesiologist | DA031626 | PA |
NPI | 1164681664 |
---|---|
Provider Name | Dr. Anne Liberatore Lemak |
First Address | Murrysville, PENNSYLVANIA 15668 |
Second Address | Murrysville, PA 15668-1583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 26/04/2017 |