Provider Demographics
NPI:1326039355
Name:LEBOVITZ, LOWELL HOWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:HOWARD
Last Name:LEBOVITZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 FORBES AVE
Mailing Address - Street 2:2020 LAWYERS BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1614
Mailing Address - Country:US
Mailing Address - Phone:412-391-5040
Mailing Address - Fax:412-391-8769
Practice Address - Street 1:428 FORBES AVE
Practice Address - Street 2:2020 LAWYERS BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1614
Practice Address - Country:US
Practice Address - Phone:412-391-5040
Practice Address - Fax:412-391-8769
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000549152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30547Medicare UPIN
PA0161830001Medicare NSC