Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS015777 | PA |
N | 207Q00000X | Family Doctor | OT012902 | PA |
NPI | 1003143280 |
---|---|
Provider Name | Dr. Lindsay Goffredo Hughes |
First Address | Allentown, PA 18104-2268 |
Second Address | Wind Gap, PA 18091-9788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2009 |
Last Update Date | 13/11/2018 |