Healthcare Provider Details

I. General information

NPI: 1558455428
Provider Name (Legal Business Name): LYNNAE SCHWARTZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 PINE ST
PHILADELPHIA PA
19103-6535
US

IV. Provider business mailing address

2118 PINE ST
PHILADELPHIA PA
19103-6535
US

V. Phone/Fax

Practice location:
  • Phone: 267-519-3377
  • Fax:
Mailing address:
  • Phone: 267-519-3377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberPAK000115
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD433698
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMD22135
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number433698
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: