Doctor Name: | STEPHANIE LYNCH |
NPI Number: | 1104202860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OA003595 |
Business Practice Address: | 1227 Warm Springs Ave Huntingdon, PA - 166522300 |
Business Phone Number: | 8146438584 |
Business Fax Number: | |
Mailing Address: | 820 Bryan St, Suite 1 HUNTINGDON |
State: | PA |
Postal Code: | 166522409 |
Phone Number: | 8146431141 |
Fax Number: | 8146439451 |
NPI Enumeration Date: | 08/05/2015 |
NPI Last Update Date: | 08/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA003595 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |