Provider Demographics
NPI:1659359669
Name:ROMANO, LYNN MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:MARY
Last Name:ROMANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 ANTIQUE ALY
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19933-4682
Mailing Address - Country:US
Mailing Address - Phone:302-337-9320
Mailing Address - Fax:302-337-9360
Practice Address - Street 1:9111 ANTIQUE ALY
Practice Address - Street 2:UNIT 1
Practice Address - City:BRIDGEVILLE
Practice Address - State:DE
Practice Address - Zip Code:19933-4682
Practice Address - Country:US
Practice Address - Phone:302-337-9320
Practice Address - Fax:302-337-9640
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006165207R00000X
NY127943207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE715525OtherFIRST HEALTH PLAN
DE3842492OtherAETNA HMO
DE5102245EAOtherBCBS-DE
DE1000028545Medicaid
DE2131566OtherMAMSI
DE4109901OtherAETNA NON-HMO
DE8131566OtherMAMSI
MD646281-01OtherCARE FIRST MD
DEA62395Medicare UPIN
DE1000028545Medicaid