Individual
LORI NICOLE BLAZEJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5115 CENTRE AVE FL 4, PITTSBURGH, PA 15232-1301
(412) 864-6600
Mailing address
5115 CENTRE AVE FL 4, PITTSBURGH, PA 15232-1301
(412) 864-6600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061409
PA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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