Provider Demographics
NPI:1235172792
Name:ADLER, LAWRENCE N (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:N
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 YOST AT ARDMORE BLVD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221
Mailing Address - Country:US
Mailing Address - Phone:412-823-3300
Mailing Address - Fax:412-823-9170
Practice Address - Street 1:21 YOST AT ARDMORE BLV
Practice Address - Street 2:SUITE 217
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5283
Practice Address - Country:US
Practice Address - Phone:412-823-3300
Practice Address - Fax:412-823-9170
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026003L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA830399027OtherRRW MEDICARE
PA830399027OtherRRW MEDICARE
PAC27044Medicare UPIN