Provider Demographics
NPI:1821276965
Name:SCHLOSSER, LYNN LOUISE (PA)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:LOUISE
Last Name:SCHLOSSER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12058 HUBBARD RD
Mailing Address - Street 2:
Mailing Address - City:CONNEAUT LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:16316-4430
Mailing Address - Country:US
Mailing Address - Phone:814-382-1431
Mailing Address - Fax:
Practice Address - Street 1:280 CLINTON CT
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3362
Practice Address - Country:US
Practice Address - Phone:814-333-8277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA-001970-L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical