Individual
LYNNWOOD A WALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 RIVER AVE, WILLIAMSPORT, PA 17701-3722
(570) 326-8070
Mailing address
137 JPM RD, LEWISBURG, PA 17837-9313
(570) 523-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD019693E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153474
BLUE SHIELD
—
01
—
18658
GEISINGER
—
01
—
50082461
CAPITAL BLUE
—
01
—
823962
FIRST PRIORITY
—
Enumeration date
09/29/2005
Last updated
01/27/2011
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