MS. Lynne P Bolstad, PA

NPI #1649331117 in Oneonta, New York

Provider Information

NPI Number: 1649331117
Entity Type: Individual
Name: MS. Lynne P Bolstad, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 12, 2006
Last Updated: Mar 25, 2010

Practice Location

Address: 1 NORTON AVE
Address 2: FOX HOSPITAL
City: Oneonta
State: New York
ZIP Code: 13820-2629
Phone: (607) 432-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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