Provider Demographics
NPI:1346298601
Name:WILLIAMS, LYNN T (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:T
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:THERESA
Other - Last Name:SCHOENHERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:P
Mailing Address - Street 1:775 E LANCASTER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1529
Mailing Address - Country:US
Mailing Address - Phone:610-525-7800
Mailing Address - Fax:610-525-7801
Practice Address - Street 1:775 E LANCASTER AVE STE 200
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085
Practice Address - Country:US
Practice Address - Phone:610-525-7800
Practice Address - Fax:610-525-7800
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051258363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical