Individual
JOHN C LYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(724) 884-0885
(724) 884-0881
Mailing address
1307 FEDERAL ST, STE 300, PITTSBURGH, PA 15212-4769
(412) 281-1757
(412) 281-7274
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD048283L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001694390
—
PA
01
—
10931466
CAQH
—
Enumeration date
09/20/2006
Last updated
09/04/2021
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