Individual
LUBOMYR BORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(724) 260-7300
Mailing address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(724) 260-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036163845
IL
208600000X
Surgery Physician
Primary
OS022193
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15666772
CAQH
—
Enumeration date
03/30/2017
Last updated
09/13/2023
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