Individual
GINA LYNN CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2618 MEMORIAL BLVD STE B-1, CONNELLSVILLE, PA 15425-1419
(724) 628-3944
(724) 628-3798
Mailing address
2618 MEMORIAL BLVD STE B-1, CONNELLSVILLE, PA 15425-1419
(724) 628-3944
(724) 628-3798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013321
PA
Other
Enumeration date
04/12/2007
Last updated
11/11/2020
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