Provider Demographics
NPI:1164726998
Name:FRANCIS FRANK, LYNDAVE S (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNDAVE
Middle Name:S
Last Name:FRANCIS FRANK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 EOFF ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3823
Mailing Address - Country:US
Mailing Address - Phone:304-234-8663
Mailing Address - Fax:304-234-8960
Practice Address - Street 1:2101 JACOB ST STE 703
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3844
Practice Address - Country:US
Practice Address - Phone:304-242-8050
Practice Address - Fax:304-242-8233
Is Sole Proprietor?:No
Enumeration Date:2011-01-09
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT196145207R00000X
WV26271207RP1001X
OH35125980207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT196145OtherMEDICAL TRAINING LICENSE
WVWV5534AMedicare PIN