Provider Demographics
NPI:1659302297
Name:LENCER, RONNI LYNN (DO)
Entity Type:Individual
Prefix:
First Name:RONNI
Middle Name:LYNN
Last Name:LENCER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RONNI
Other - Middle Name:LYNN
Other - Last Name:NEEDHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 716
Mailing Address - Street 2:100 SHENANGO AVE.
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-0716
Mailing Address - Country:US
Mailing Address - Phone:814-223-9900
Mailing Address - Fax:814-223-9910
Practice Address - Street 1:30 PINNACLE DR
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-3800
Practice Address - Country:US
Practice Address - Phone:814-223-9900
Practice Address - Fax:814-223-9910
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016945900004Medicaid
PA104707Medicare PIN