Provider Demographics
NPI:1245236975
Name:LOBUR, PAUL T (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:T
Last Name:LOBUR
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 1:1050 BOWER HILL RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1800
Mailing Address - Country:US
Mailing Address - Phone:412-343-1080
Mailing Address - Fax:412-343-7807
Practice Address - Street 1:1050 BOWER HILL ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1868
Practice Address - Country:US
Practice Address - Phone:412-343-1080
Practice Address - Fax:412-343-7807
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-09-04
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-24
Provider Licenses
StateLicense IDTaxonomies
PAMD023003E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA075160Medicare PIN
PAB35047Medicare UPIN