Provider Demographics
NPI:1275654220
Name:REMINGTON, LYNN
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:REMINGTON
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 1:409 BROAD ST STE 101B
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1554
Mailing Address - Country:US
Mailing Address - Phone:412-741-7700
Mailing Address - Fax:412-324-1098
Practice Address - Street 1:409 BROAD ST STE 101B
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1554
Practice Address - Country:US
Practice Address - Phone:412-741-7700
Practice Address - Fax:412-324-1098
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0351241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics