MEDICARE: DR. LYNN R WILLIAMS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD042981L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13102	OTHER	PA	UPMC
2	7993414	OTHER	PA	AETNA US HEALTHCARE
3	142244	OTHER	PA	ADVANTRA
4	3046212	OTHER	PA	US HEALTHCARE
5	001332161	OTHER	PA	HIGHMARK BLUE SHIELD
6	070015974 & CK4548	OTHER	PA	TRAVELERS RAILROAD MEDICA
7	142244	OTHER	PA	HEALTHAMERICA/ASSURANCE
8	251880884	OTHER	PA	FEDERAL TAX I.D. NUMBER

General Provider Information

NPI Number	:	1033180468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN R WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	3105 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1131
Country	:	US
Telephone Number	:	724-656-8940
Fax Number	:	724-656-8942

Provider Business Practice Location Address
First Line	:	3105 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1131
Country	:	US
Telephone Number	:	724-656-8940
Fax Number	:	724-656-8942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	03/13/2011

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