National Provider Identifier
Lynne Marie Fries, PA-C
Lynne Marie Fries, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 250-6545.
Profile Overview
- NPI
- 1114915287
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 12, 2005
- Last Updated
- October 22, 2008
Practice Location
- 219 Bryant Street
- Buffalo, NY 14222-2006
Phone: (716) 250-6545
Mailing Address
- 4511 Harlem Road
- Suite 202
- Amherst, NY 14226-3822
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1114915287
- Entity Type
- Individual
- Last Name
- Fries
- First Name
- Lynne
- Middle Name
- Marie
- Credential
- PA-C
- Mailing Street Address
- 4511 Harlem Road
- Mailing Address Line 2
- Suite 202
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3822
- Mailing Country
- US
- Mailing Phone
- (716) 839-6720
- Mailing Fax
- (716) 839-6740
- Practice Street Address
- 219 Bryant Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-2006
- Practice Country
- US
- Practice Phone
- (716) 250-6545
- Practice Fax
- (716) 250-6566
- Enumeration Date
- October 12, 2005
- Last Updated
- October 22, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- 000560443011 (Bc/Bs), 00026514404 (Univera), 9512047 (Iha), 000560443006 (NY, Blue Cross/Community Blue), 070924000060 (Fidelis), 02759662 (NY)