Provider Demographics
NPI:1609882240
Name:SHAPIRO, LESTER FRANK (MD)
Entity Type:Individual
Prefix:
First Name:LESTER
Middle Name:FRANK
Last Name:SHAPIRO
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 1:1501 LINCOLN WAY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1271
Mailing Address - Country:US
Mailing Address - Phone:412-672-9171
Mailing Address - Fax:412-672-5615
Practice Address - Street 1:1501 LINCOLN WAY
Practice Address - Street 2:SUITE 211
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1271
Practice Address - Country:US
Practice Address - Phone:412-672-9171
Practice Address - Fax:412-672-5615
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009776E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
220878OtherHLTHAMERICA
PA0005940400001Medicaid
PA042130495OtherRAILROAD MEDICARE
102725OtherUPMC
PA042130495OtherRAILROAD MEDICARE
PA122809Medicare PIN
PA0005940400001Medicaid