Fries, Lynne Marie

Fries, Lynne Marie is an individual health care provider with primary practice located at 219 Bryant Street , Buffalo NY 14222-2006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fries, Lynne Marie can be contacted via phone (716) 250-6545.

Contact Information

Primary practice address
219 Bryant Street Buffalo NY 14222-2006
Phone: (716) 250-6545
Fax: (716) 250-6566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006966-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006966 New York

Profile Details

NPI number 1114915287
LBN Legal business name Fries, Lynne Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114915287 NPPES
Other 000560443011 BC/BS
Other 00026514404 BC/BS
Other 9512047 BC/BS
Other 000560443006 BC/BS
Other 070924000060 BC/BS
MEDICAID 02759662 BC/BS

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