Individual
JENNY LEE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2510
(570) 768-3911
Mailing address
1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9314
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD029423E
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD029423E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10933540004
—
PA
01
—
321847
HEALTH AMERICA
PA
01
—
410394
BLUE SHIELD
PA
01
—
50010277
CAPITAL BLUE CROSS
PA
01
—
P00004773
RAILROAD MEDICARE
PA
Enumeration date
07/20/2006
Last updated
03/17/2017
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