Organization
MT. LEBANON DERMATOLOGY ASSOCIATES, PC
Active
Other names
Mt. Lebanon Dermatology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN S FUNT MD (PRESIDENT)
(412) 841-6758
Entity
Organization
Contact information
Practice address
607 WASHINGTON RD LOWR LEVEL, PITTSBURGH, PA 15228-1903
(412) 841-6758
Mailing address
745 FLORIDA AVE, PITTSBURGH, PA 15228-2012
(412) 841-6758
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
09/20/2024
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