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General NPI Number Information
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NPI Number | 1477547479
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Entity Type | Individual
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Provider Name | CLIFFORD W LYND, JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 25 MONUMENT RD SUITE 190
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City | YORK
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State | PA
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Zip | 17403-5060
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Country | US
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Telephone | 717-851-6454
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Fax | 717-851-1665
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Provider Business Mailing Address
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Address Line | 1803 MOUNT ROSE AVE SUITE B3
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City | YORK
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State | PA
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Zip | 17403-3026
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-1665
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD013609E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD013609E
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License Number State | PA
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