Organization
LYNN PAVLIC, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN PAVLIC (OWNER)
(724) 225-4440
Entity
Organization
Contact information
Practice address
150 W BEAU ST, SUITE 112, WASHINGTON, PA 15301-4425
(724) 225-4440
(724) 225-5125
Mailing address
150 W BEAU ST, SUITE 112, WASHINGTON, PA 15301-4425
(724) 225-4440
(724) 225-5125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0E007059T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012949600001
—
PA
Enumeration date
12/17/2010
Last updated
03/11/2011
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