| Dr Lynn Family Practice Pa | |
|
1323 W Fletcher Ave Tampa FL 33612-3310 | |
| (813) 999-2188 | |
| Not Available |
| Full Name | Dr Lynn Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1323 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Lon David Lynn (CEO) |
| Authorized Official Contact | 8132647922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lynn Family Practice Pa 1323 W Fletcher Ave Ste B Tampa FL 33612-3310 Ph: () - | Dr Lynn Family Practice Pa 1323 W Fletcher Ave Tampa FL 33612-3310 Ph: (813) 999-2188 |
| NPI Number | 1558495382 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/28/2021 |
| Medicare PECOS PAC ID | 9335314780 |
|---|---|
| Medicare Enrollment ID | O20111213000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558495382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lyle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487893244 PECOS PAC ID: 5496886905 Enrollment ID: I20100628000522 |
| Provider Name | Lon D Lynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497898282 PECOS PAC ID: 3072788421 Enrollment ID: I20111213000557 |
| Provider Name | Heidi Hurter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750880621 PECOS PAC ID: 8527394840 Enrollment ID: I20190724003352 |
| Provider Name | Takako Kikuchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754062 PECOS PAC ID: 9931577897 Enrollment ID: I20221126000123 |
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