Basic Information
Provider Information
NPI: 1093709909
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMAN
FirstName: PAUL
MiddleName: DAVID
NamePrefix:  
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LAMAN
OtherFirstName: DAVID
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 2
Mailing Information
Address1: 1200 BROOKS LN
Address2: SUITE 130
City: JEFFERSON HILLS
State: PA
PostalCode: 150253747
CountryCode: US
TelephoneNumber: 4124693600
FaxNumber: 4124693630
Practice Location
Address1: 1200 BROOKS LN
Address2: SUITE 130
City: JEFFERSON HILLS
State: PA
PostalCode: 150253747
CountryCode: US
TelephoneNumber: 4124693600
FaxNumber: 4124693630
Other Information
ProviderEnumerationDate: 09/07/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XMD012621EPAX Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200XMD012621EPAX Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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