Provider Demographics
NPI:1215916895
Name:ARNOLD, LAURA S (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:S
Last Name:ARNOLD
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 1:1200 GULF LAB ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238
Mailing Address - Country:US
Mailing Address - Phone:412-380-0711
Mailing Address - Fax:412-380-5711
Practice Address - Street 1:1200 GULF LAB ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:412-380-0711
Practice Address - Fax:412-380-5711
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 042500L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001269930 0010Medicaid
PA689775Medicare PIN
F06307Medicare UPIN