Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | MD34366 | DC |
Y | 208000000X | Pediatrician | MD455276 | PA |
NPI | 1871671198 |
---|---|
Provider Name | Uta Lichter-Konecki |
First Address | Pittsburgh, PA 15224 |
Second Address | Pittsburgh, PA 15224-1529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103028410 | (05) | PA |
437484 | (02) | PA |