Individual
DR. JERRY LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4099 WILLIAM PENN HWY, STE 805, MONROEVILLE, PA 15146-2518
(412) 372-7131
(412) 372-0149
Mailing address
4099 WILLIAM PENN HWY, STE 805, MONROEVILLE, PA 15146-2518
(412) 372-7131
(412) 372-0149
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD-070517-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101092420-0001
—
PA
01
—
410481
UPMC
PA
01
—
LY155177
HIGHMARK BS
PA
Enumeration date
06/20/2005
Last updated
08/05/2021
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