Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | OS013270 | PA |
NPI | 1386833697 |
---|---|
Provider Name | Amy Lewis Dunn |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 28/06/2016 |