Provider Demographics
NPI:1255542353
Name:LEBOVITZ, EMILY S (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:S
Last Name:LEBOVITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE STE GR25
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:855-281-4963
Mailing Address - Fax:412-605-6343
Practice Address - Street 1:4815 LIBERTY AVE STE GR25
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:855-281-4963
Practice Address - Fax:412-605-6343
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426869207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101927833Medicaid
PA112155Medicare PIN