Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS013607 | PA |
N | 111NI0900X | Internist | OS013607 | PA |
Y | 207RG0300X | Geriatric Medicine | OS013607 | PA |
NPI | 1164599155 |
---|---|
Provider Name | Dr. James Y Lin |
First Address | Erie, PA 16505-2571 |
Second Address | Erie, PA 16509-2603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 05/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1017456160001 | (05) | PA |
1017456160015 | (05) | PA |