Basic Information
| Provider Information | |||||||||
| NPI: | 1356625909 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EDKINS | ||||||||
| FirstName: | LORI | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 LOTHROP STREET | ||||||||
| Address2: | SUITE 9055, FORBES TOWER | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126473087 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1163 COUNTRY CLUB ROAD | ||||||||
| Address2: | |||||||||
| City: | MONONGAHELA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124327400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2011 | ||||||||
| LastUpdateDate: | 09/30/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | MA055078 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.