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Individual

MS. EMILY A LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1001 E 2ND ST, U.S. ROUTE 6 EAST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Mailing address
312 HILLSIDE AVE, PORT ALLEGANY, PA 16743-1412
(814) 335-2240

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052582
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109360JT3
MEDICARE ID
PA
Enumeration date
09/25/2006
Last updated
12/09/2008
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