Basic Information
| Provider Information | |||||||||
| NPI: | 1427448448 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LYNTON | ||||||||
| FirstName: | SONJA | ||||||||
| MiddleName: | NAOMI | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 74166 | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441944166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016659696 | ||||||||
| FaxNumber: | 2404205715 | ||||||||
| Practice Location | |||||||||
| Address1: | 1150 PROFESSIONAL CT | ||||||||
| Address2: | SUITE P | ||||||||
| City: | HAGERSTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217404100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016659696 | ||||||||
| FaxNumber: | 2404205715 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2015 | ||||||||
| LastUpdateDate: | 02/09/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F07141285 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.