Individual
LYNETTE A WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 NASON DR, ROARING SPRING, PA 16673-1212
(814) 224-5132
(814) 224-2906
Mailing address
111 NASON DR, ROARING SPRING, PA 16673-1212
(814) 224-5132
(814) 224-2906
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001452L
PA
Other
Enumeration date
08/31/2005
Last updated
11/17/2009
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