Individual
MRS. LYNDA R FORMOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
331 SHAW AVE, MCKEESPORT, PA 15132-2918
(412) 675-8585
Mailing address
3085 ROUTE 30, GEORGETOWN, PA 15043
(724) 573-4648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007728
PA
Other
Enumeration date
08/31/2006
Last updated
11/11/2019
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