Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 223615-1 | NY |
NPI | 1003809146 |
---|---|
Provider Name | Dr. Lynn R Allen |
First Address | Philadelphia, PA 19195-0001 |
Second Address | New York, NY 10019-1104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 28/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02329537 | (05) | NY |
H74663 | (02) | NY |