Provider Demographics
NPI:1588722896
Name:PURPURA, LAWRENCE JAMES (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:JAMES
Last Name:PURPURA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 BROOKLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2302
Mailing Address - Country:US
Mailing Address - Phone:412-344-8900
Mailing Address - Fax:412-561-0913
Practice Address - Street 1:1206 BROOKLINE BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-2302
Practice Address - Country:US
Practice Address - Phone:412-563-0594
Practice Address - Fax:412-561-0913
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039235L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0993798Medicaid
PAB41299Medicare UPIN
PA0993798Medicaid