Healthcare Provider Details

I. General information

NPI: 1902897952
Provider Name (Legal Business Name): LYNDRA J BILLS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 08/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 NEW HOLLAND AVE
LANCASTER PA
17602-2163
US

IV. Provider business mailing address

802 NEW HOLLAND AVE
LANCASTER PA
17602-2163
US

V. Phone/Fax

Practice location:
  • Phone: 717-560-3782
  • Fax: 717-560-3787
Mailing address:
  • Phone: 717-560-3782
  • Fax: 717-560-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD053694L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: