Basic Information
Provider Information
NPI: 1225089345
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHERER
FirstName: LYNN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 13918
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19101
CountryCode: US
TelephoneNumber: 2154567000
FaxNumber: 2152543289
Practice Location
Address1: 5501 OLD YORK ROAD
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19141
CountryCode: US
TelephoneNumber: 2154566679
FaxNumber: 2154568502
Other Information
ProviderEnumerationDate: 05/13/2006
LastUpdateDate: 05/23/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMA003421LPAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
363A00000XMA003421LPAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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