Individual
MRS. LARA MINERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1984 GREENTREE RD, PITTSBURGH, PA 15220-1813
(412) 343-3627
Mailing address
1244 BILTMORE AVE, PITTSBURGH, PA 15216-2355
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA056335
PA
Other
Enumeration date
12/17/2013
Last updated
01/19/2016
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