Provider Demographics
NPI:1073710679
Name:FABER, LANCE FREDERICK (DO)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:FREDERICK
Last Name:FABER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 INGRID PL
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3024
Mailing Address - Country:US
Mailing Address - Phone:412-489-5011
Mailing Address - Fax:
Practice Address - Street 1:211 INGRID PL
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3024
Practice Address - Country:US
Practice Address - Phone:412-489-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program