Provider Demographics
NPI:1598762817
Name:GAWNE, LYNN MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:GAWNE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:MARIE
Other - Last Name:SCIULLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3805 BELLADONNA DR
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-1241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2134 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1904
Practice Address - Country:US
Practice Address - Phone:412-431-9302
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031756L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist