Patient information

Lynn Tyler James

Simulated actor
Connectathon
Last modifier
matt
Last modified date
12/30/19 5:25:45 PM (EST GMT-0500)
Warning: this patient is no more active and cannot be updated anymore
First name
Lynn Tyler
Last name
James
Gender
Male
Date of Birth
3/26/66
Marital status
Identity Reliability Code

Address

Street address line
135 Raypaula Drive
Zip Code
17356
City
Red Lion
State
PA
Country
USA
Patient Identifiers
  • P-000000210^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO
  • 777-77-0110^^^&2.16.840.1.113883.4.1&ISO
Email
Primary Residence Number
+1-717-352-8752
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
5d6a84d4-b58c-4888-a188-d569d10f5013
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
Visit number
Patient status
Patient class
Last modified date
Action