Provider Demographics
NPI:1225088180
Name:FRANCIS, LYNDA JOY (RPAC)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:JOY
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:STE 130
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-675-0707
Mailing Address - Fax:716-674-1836
Practice Address - Street 1:1900 RIDGE RD
Practice Address - Street 2:STE 130
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3332
Practice Address - Country:US
Practice Address - Phone:716-675-0707
Practice Address - Fax:716-674-1836
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0054161363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S49862Medicare UPIN