| Doctor Name: | LYNNE A GONZALEZ |
| NPI Number: | 1437580222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP012227 |
| Business Practice Address: | 550 W College Ave Pleasant Gap, PA - 168237401 |
| Business Phone Number: | 8142725805 |
| Business Fax Number: | 8142720110 |
| Mailing Address: | 301 Science Park Rd, Suite 119 STATE COLLEGE |
| State: | PA |
| Postal Code: | 168032293 |
| Phone Number: | 8142725805 |
| Fax Number: | 8142720110 |
| NPI Enumeration Date: | 12/05/2013 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP012227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |