Lyche, Janeen A

Lyche, Janeen A is an individual health care provider with primary practice located at 13403 Volvo Way Medical Suite, Hagerstown MD 21742-3810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lyche, Janeen A can be contacted via phone (240) 500-3764.

Contact Information

Primary practice address
13403 Volvo Way Medical Suite Hagerstown MD 21742-3810
Fax: (301) 790-2050
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R156248 Maryland

Profile Details

NPI number 1538226972
LBN Legal business name Lyche, Janeen A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Apr 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538226972 NPPES
Maryland MEDICAID 027028800

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