Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | MD035879E | PA |
Y | 207RP1001X | Pulmonary Disease | MD035879E | PA |
NPI | 1033170329 |
---|---|
Provider Name | Mark Lega |
First Address | Pittsburgh, PA 15202-3428 |
Second Address | Pittsburgh, PA 15202-3428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001245471007 | (05) | PA |
0073749000 | (05) | WV |
E85191 | (02) |