Healthcare Provider Details
I. General information
NPI: 1750384855
Provider Name (Legal Business Name): LUCY JANET CAIRNS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2005
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3855 PENN AVE
SINKING SPRING PA
19608-1174
US
IV. Provider business mailing address
3855 PENN AVE
SINKING SPRING PA
19608-1174
US
V. Phone/Fax
- Phone: 610-678-4552
- Fax: 610-678-7007
- Phone: 610-678-4552
- Fax: 610-678-7007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD036740E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: