Individual
LYNN C BAYLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7313 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066-9779
(315) 637-2225
(315) 637-4308
Mailing address
7563 BROADFIELD RD, MANLIUS, NY 13104-9608
(315) 692-4295
(315) 637-4308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002484L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102042340001
—
PA
01
—
196998
BCBS
PA
01
—
196998XN3
MEDICARE
PA
Enumeration date
08/29/2006
Last updated
07/20/2014
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