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Individual

DR. LYNN B POWNALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
25 HARRISON ST, JAMESTOWN, NY 14701-6653
(716) 664-5966
(716) 664-7999
Mailing address
25 HARRISON ST, JAMESTOWN, NY 14701-6653
(716) 664-5966
(716) 664-7999

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
DC-004987-L
PA
111NN0400X
Neurology Chiropractor
Primary
X006994-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020097901
UNIVERA PROVIDER NUMBER
NY
01
000211411001
BLUE CROSS BLUE SHIELD
NY
01
161420676-02
PRISM HEALTH NETWORKS
NY
01
5802491
GHI PROVIDER NUMBER
NY
01
8809742
INDEPENDENT HEALTH
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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