Most Relevant Information
Provider Data
| NPI Number: | 1003204231 |
| Provider Name: | LYNN LUTHERN PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 018261 |
Most Important Dates
| Enumeration Date: | 12/22/2014 |
| Last Updated: | 04/06/2021 |
Provider Practice Location
1729 BURRSTONE RD
NEW HARTFORD
NY
134131001
Practice Location Phone/Fax
| Phone: | 3157981859 |
| Fax: | 3157981721 |
Provider Mailing Location
1729 BURRSTONE RD
NEW HARTFORD
NY
134131001
Provider Mailing Phone/Fax
| Phone: | 3157981859 |
| Fax: | 3157981721 |