| NPI | 1124790977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LAU Credentialing 724-989-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 133N00000X Nutritionist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |