Lynda M Sorensen MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

173722 Issued in NY

Legal business name

LYNDA M SORENSEN MD PC

Practice address

12 Whiting St
North Tonawanda, NY 14120-6124

Phone

(716) 694-8851

Fax

(716) 694-5941

NPI assigned

Feb 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynda M Sorensen MD,PC, MD

Title

Sole Officer/Director

Phone

(716) 694-8851

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1457625394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WHITING ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206124",
            "telephone_number": "716-694-8851",
            "fax_number": "716-694-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WHITING ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206124",
            "telephone_number": "716-694-8851",
            "fax_number": "716-694-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA M SORENSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "SORENSEN MD,PC",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "716-694-8851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "173722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070017414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00010170501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "000510939001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0307845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam V.E. Lock, PNP
• Dawn Faith Lowry, LMSW
• Mallory Luparello
• Suzan Mary Lupejkis, LMT
• Margaret Mary Lynch, LIC.SLP, MS/CCC
• Lynn a. Amarante, MD PC
• Jill W Lyons, LCSW
• Kim Marie Macdonald
• Olivia Maddock, L.AC.
• Nina M. Maines, LCSW-R

• Dermatology Physician in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.