OrganizationActive
Mt. Lebanon Dermatology, PC
NPI 1114971074 · Procedural Dermatology Physician · Pittsburgh, PA
Provider details
- NPI number
- 1114971074
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacqueline Funt, Corporate Secretary(412) 440-0270
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
607 Washington Rd
Lower Level
Pittsburgh, PA 15228-1903
Phone: (412) 440-0270
Fax: (412) 440-0271
Approximate (ZIP-level) locationGet directions
Mailing address
607 Washington Rd
Pittsburgh, PA 15228-1903
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2015-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.