Provider Demographics
NPI:1225215924
Name:LYNN F ASCHER P A
Entity Type:Organization
Organization Name:LYNN F ASCHER P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF DR LYNN F ASCHER PA
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ASCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:410-543-1675
Mailing Address - Street 1:560 RIVERSIDE DRIVE
Mailing Address - Street 2:SUITE B201
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4703
Mailing Address - Country:US
Mailing Address - Phone:410-543-1675
Mailing Address - Fax:410-543-1763
Practice Address - Street 1:560 RIVERSIDE DRIVE
Practice Address - Street 2:SUITE B201
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4703
Practice Address - Country:US
Practice Address - Phone:410-543-1675
Practice Address - Fax:410-543-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD087891223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4878OtherBCBS DENTAL
MDE7100001OtherBCBS MD MEDICAL
MD258963000Medicaid
MDE7100001OtherBCBS MD MEDICAL
U64563Medicare UPIN