Individual ProviderLeeanna LyneFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1978(570) 320-7800PECOS EnrollmentBased on the most recent information from CMS, provider Leeanna Lyne is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1144517483Provider TypeIndividualFull NameLyne, LeeannaGenderFemaleSole ProprietorNoEnumeration Date7/7/2011Last Updated5/24/2021Contact InformationPractice LocationPractice Address1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1978Phone(570) 320-7800FaxUnlisted FaxMailing LocationMailing Address1201 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS016913Pennsylvania