Provider Demographics
NPI:1427014307
Name:D'AURIA, MARY LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:LYNN
Last Name:D'AURIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:480 N KERRWOOD DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-5212
Mailing Address - Country:US
Mailing Address - Phone:724-981-0823
Mailing Address - Fax:724-981-6409
Practice Address - Street 1:480 N KERRWOOD DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-5212
Practice Address - Country:US
Practice Address - Phone:724-981-0823
Practice Address - Fax:724-981-6409
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005972L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E66965Medicare UPIN
641523HGUMedicare ID - Type Unspecified