Doctor Name: | WILLIAM S LYNDE |
NPI Number: | 1104828219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC001816L |
Business Practice Address: | 770 Newtown Yardley Rd Suite 215 Newtown, PA - 189401748 |
Business Phone Number: | 2159688700 |
Business Fax Number: | 2159688523 |
Mailing Address: | 770 Newtown Yardley Rd, Suite 215 NEWTOWN |
State: | PA |
Postal Code: | 189401748 |
Phone Number: | 2159688700 |
Fax Number: | 2159688523 |
NPI Enumeration Date: | 06/02/2005 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 04/17/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC001816L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |