Provider Demographics
NPI:1013492446
Name:METZ, LYNDA LOU
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:LOU
Last Name:METZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4162
Mailing Address - Country:US
Mailing Address - Phone:304-422-5076
Mailing Address - Fax:
Practice Address - Street 1:1307 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-4162
Practice Address - Country:US
Practice Address - Phone:304-422-5076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant