Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD035199E | PA |
Y | 207VG0400X | Gynecologist | MA51433 | NJ |
NPI | 1063469831 |
---|---|
Provider Name | E Cindy Lendor |
First Address | Philadelphia, PA 19132-3207 |
Second Address | Philadelphia, PA 19132-3207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 19/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1011663550001 | (05) | PA |
E56438 | (02) | PA |