Individual
LYNN PAVLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
150 W BEAU ST, WASHINGTON, PA 15301-4425
(724) 225-4440
(724) 225-5125
Mailing address
150 W BEAU ST, WASHINGTON, PA 15301-4425
(724) 225-4440
(724) 225-5125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007059T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012949600001
—
PA
01
—
0015842
DORAL
—
01
—
36829
DAVIS
—
01
—
396281
NVA
—
01
—
PA07059
VBA
—
Enumeration date
07/17/2006
Last updated
07/08/2007
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