Provider Demographics
NPI:1477654044
Name:DARVILLE, LEE ANTOINETTE (MD)
Entity Type:Individual
Prefix:MS
First Name:LEE
Middle Name:ANTOINETTE
Last Name:DARVILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:
Other - Last Name:DARVILLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4401 PENN AVE.
Mailing Address - Street 2:RANGOS RESEARCH CENTER-ROOM 9119
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:412-692-5930
Mailing Address - Fax:412-692-5565
Practice Address - Street 1:4401 PENN AVE.
Practice Address - Street 2:DIVISION OF INFECTIOUS DISEASES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-5930
Practice Address - Fax:412-692-5565
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-72622080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR117596001Medicaid
E91735Medicare UPIN
AR117596001Medicaid