Provider Demographics
NPI:1902078637
Name:HOMA, LORI D (MD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:D
Last Name:HOMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9335 MCKNIGHT RD STE 240
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5928
Mailing Address - Country:US
Mailing Address - Phone:412-578-5588
Mailing Address - Fax:412-605-6544
Practice Address - Street 1:9335 MCKNIGHT RD STE 240
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5928
Practice Address - Country:US
Practice Address - Phone:412-578-5588
Practice Address - Fax:412-605-6544
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD456020207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103054886Medicaid
437331Medicare PIN