Provider Demographics
NPI:1659546281
Name:BIONDI, LYNSEY ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNSEY
Middle Name:ALLEN
Last Name:BIONDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-1200
Mailing Address - Country:US
Mailing Address - Phone:304-974-3004
Mailing Address - Fax:304-598-4899
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:304-974-3004
Practice Address - Fax:304-598-4899
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440577204F00000X
FLME126895204F00000X
WV28835204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0360196Medicaid
PA102485979Medicaid
WV1659546281Medicaid
MD302149100Medicaid