Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | OS016125 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | OS016125 | PA |
NPI | 1295997617 |
---|---|
Provider Name | Miss Lynn A Amicone |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Harrisburg, PA 17101-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 15/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103041396 | (05) | PA |