Basic Information
| Provider Information | |||||||||
| NPI: | 1497092126 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | PAPATHEODOROU | ||||||||
| FirstName: | LOUKIA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 LOTHROP ST | ||||||||
| Address2: | FORBES TOWER, SUITE 9055 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126473087 | ||||||||
| FaxNumber: | 4126474486 | ||||||||
| Practice Location | |||||||||
| Address1: | 304 EVANS DR | ||||||||
| Address2: | MEDICAL ARTS BUILDING, SUITE 102 | ||||||||
| City: | ELLWOOD CITY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161171477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123667444 | ||||||||
| FaxNumber: | 4123667452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2013 | ||||||||
| LastUpdateDate: | 01/15/2013 | ||||||||
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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 | 207X00000X | MD447450 | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.