Lynn L Lybrand, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101198 Issued in FL

Practice address

5398 Park Street North
St Petersburg, FL 33709

Phone

(727) 544-1441

Fax

(727) 545-8263

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669569687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 49TH STREET NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-526-6624",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK STREET NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBRAND",
        "first_name": "LYNN",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lwcmdiv, LLC (Mdiv)
• Vivian Ly, MSW
• Melissa Lybarger, HIS
• Caitlin Rose Lynch, APRN
• Dawn Marie Lynch, PT
• Jill Lynch
• Sean Lynch, DO
• William T Lyne, LICSW

• Medical Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.