Individual
LYNETTE J CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508
(304) 241-7150
(304) 599-8917
Mailing address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1314
(304) 241-7150
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01177
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004490
—
WV
Enumeration date
07/20/2005
Last updated
06/17/2021
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