Individual
CHARLES A LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 NOLTE DR, KITTANNING, PA 16201-7111
(724) 543-8405
(724) 543-8535
Mailing address
100 VISTA CIRCLE DRIVE, APARTMENT #413, PITTSBURGH, PA 15238
(412) 408-3512
(412) 281-6320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD014978E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007787900000
—
PA
01
—
126938
BLUE SHIELD
—
01
—
300050760
RR MEDICARE
—
Enumeration date
06/06/2006
Last updated
11/06/2008
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