| Doctor Name: | GLENDA LYKENS |
| NPI Number: | 1083608863 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP006988B |
| Business Practice Address: | 100 Nason Dr Roaring Spring, PA - 166731201 |
| Business Phone Number: | 8142245132 |
| Business Fax Number: | 8142242903 |
| Mailing Address: | 100 Nason Dr, ROARING SPRING |
| State: | PA |
| Postal Code: | 166731201 |
| Phone Number: | 8142245132 |
| Fax Number: | 8142242903 |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | SP006988B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |