Provider Demographics
NPI:1508064288
Name:WIEGAND, LAURA C (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:WIEGAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 ALLEGHENY CTR FL 7
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5255
Mailing Address - Country:US
Mailing Address - Phone:412-330-4461
Mailing Address - Fax:412-330-5844
Practice Address - Street 1:1200 BROOKS LN STE G20
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3752
Practice Address - Country:US
Practice Address - Phone:412-267-5040
Practice Address - Fax:412-384-3505
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT190664207X00000X
PAMD441105207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery