Provider Demographics
NPI:1568481380
Name:BELL, LYNDA E (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:E
Last Name:BELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LYNDA
Other - Middle Name:
Other - Last Name:SCHLITTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:4951 BUSINESS PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7174
Mailing Address - Country:US
Mailing Address - Phone:907-743-7200
Mailing Address - Fax:907-743-7241
Practice Address - Street 1:4951 BUSINESS PARK BLVD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7174
Practice Address - Country:US
Practice Address - Phone:907-743-7200
Practice Address - Fax:907-743-7241
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA14931363A00000X
AK136664363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PA149310Medicaid
AK1689941Medicaid
CA00PA149310Medicaid