Provider Demographics
NPI:1548745417
Name:TOMAN, LAURA ASHLEY
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ASHLEY
Last Name:TOMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST.
Mailing Address - Street 2:C800
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-7555
Mailing Address - Fax:412-647-4710
Practice Address - Street 1:200 LOTHROP ST.
Practice Address - Street 2:C800
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-647-7555
Practice Address - Fax:412-647-4710
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA004944363A00000X
PAMA060440363A00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant