Buckner, Lynn Randolph

Buckner, Lynn Randolph is an individual health care provider with primary practice located at 1405 7Th Street Se , Decatur AL 35601-3341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Buckner, Lynn Randolph can be contacted via phone (256) 355-6414.

Contact Information

Primary practice address
1405 7Th Street Se Decatur AL 35601-3341
Phone: (256) 355-6414
Fax: (256) 355-6646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00016036 Alabama

Profile Details

NPI number 1386694263
LBN Legal business name Buckner, Lynn Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 27th, 2010 - about 15 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 1386694263 NPPES
Alabama MEDICAID 000025530
Alabama Other 1710268
Alabama Other 51025530BUC
Alabama Other 990010719

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