Organization
MAIN STREET MEDICAL ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EUGENE LYNN MD (PRESIDENT)
(724) 547-4536
Entity
Organization
Contact information
Practice address
525 W MAIN ST, MT PLEASANT, PA 15666-1833
(724) 547-4536
(724) 547-3799
Mailing address
525 W MAIN ST, MT PLEASANT, PA 15666-1833
(724) 547-4536
(724) 547-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD434385
PA
207Q00000X
Family Medicine Physician
OS012524
PA
207R00000X
Internal Medicine Physician
Primary
MD017110E
PA
207R00000X
Internal Medicine Physician
MD037152L
PA
207RC0000X
Cardiovascular Disease Physician
MD030863E
PA
363A00000X
Physician Assistant
MA051424
PA
363LF0000X
Family Nurse Practitioner
SP010951
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655146
—
PA
Enumeration date
07/22/2006
Last updated
12/09/2010
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