| Doctor Name: | DANIELLE MARIE LOUTH |
| NPI Number: | 1073700233 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | MA053885 |
| Business Practice Address: | 138 Gallery Dr Canonsburg, PA - 153172690 |
| Business Phone Number: | 7242607300 |
| Business Fax Number: | 7242607310 |
| Mailing Address: | 138 Gallery Dr, CANONSBURG |
| State: | PA |
| Postal Code: | 153172690 |
| Phone Number: | 7242607300 |
| Fax Number: | 7242607310 |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | MA053885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |