Healthcare Provider Details

I. General information

NPI: 1437054533
Provider Name (Legal Business Name): LYNN EIGO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 WILLIAMS RD
YORK PA
17402-9012
US

IV. Provider business mailing address

1407 WILLIAMS RD
YORK PA
17402-9012
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-6340
  • Fax: 717-851-6349
Mailing address:
  • Phone: 717-851-6340
  • Fax: 717-851-6439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN19627BL
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: