Individual
DR. LISA A WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3005
(412) 359-3006
Mailing address
320 E NORTH AVENUE, PITTSBURGH, PA 15212-4756
(412) 359-3005
(412) 359-3006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD027751E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD027751E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001540385
—
PA
01
—
10968521
CAQH
—
Enumeration date
09/23/2005
Last updated
07/24/2017
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