Maxwell, Lynn G

Maxwell, Lynn G is an individual health care provider with primary practice located at 34Th Street & Civic Center Blvd Suite 9329, Philadelphia PA 19104-4399. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Maxwell, Lynn G can be contacted via phone (215) 590-1858.

Contact Information

Primary practice address
34Th Street & Civic Center Blvd Suite 9329 Philadelphia PA 19104-4399
Fax: (215) 590-1415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD419245 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD419245 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD419245 Pennsylvania

Profile Details

NPI number 1164435343
LBN Legal business name Maxwell, Lynn G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 17th, 2013 - about 11 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 1164435343 NPPES
Pennsylvania Other 198358EJL MEDICARE PTAN ANESTHESIA
Pennsylvania Other 057804J6Z MEDICARE PTAN ANESTHESIA
Pennsylvania MEDICAID 0016553470 MEDICARE PTAN ANESTHESIA

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