Doctor Name: | LYNN MOTASIS |
NPI Number: | 1023250180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 25MD00207800 |
Business Practice Address: | 1978 Linden Ln Whitehall, PA - 180523740 |
Business Phone Number: | 6107993963 |
Business Fax Number: | |
Mailing Address: | 4 Reddington Dr, MATAWAN |
State: | NJ |
Postal Code: | 077476647 |
Phone Number: | 7329704580 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2009 |
NPI Last Update Date: | 05/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00207800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |