Anderson, Lynn A

Anderson, Lynn A is an individual health care provider with primary practice located at 1725 E 19Th St Suite 201, Tulsa OK 74104-5419. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Anderson, Lynn A can be contacted via phone (918) 728-3100.

Contact Information

Primary practice address
1725 E 19Th St Suite 201 Tulsa OK 74104-5419
Phone: (918) 728-3100
Fax: (918) 728-3376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 18895 Oklahoma
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 18895 Oklahoma
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 18895 Oklahoma

Profile Details

NPI number 1124076161
LBN Legal business name Anderson, Lynn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124076161 NPPES
Other 070015382 RAILROAD MEDICARE - PALMETTO GBA

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