Individual
LYNN BORNFRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
172 TYVOLA DR, SUMMERVILLE, SC 29485-8333
(215) 806-8900
Mailing address
172 TYVOLA DR, SUMMERVILLE, SC 29485-8333
(215) 806-8900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
92041
SC
2084P0800X
Psychiatry Physician
MD047115L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001453403
—
PA
01
—
117012
CBH
PA
Enumeration date
01/11/2007
Last updated
12/04/2024
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