Lynn, Melissa L

Lynn, Melissa L is an sole proprietor health care provider with primary practice located at 2751 Albert Bicknell Drive Ste 3C, Shreveport LA 71103-3943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Lynn, Melissa L can be contacted via phone (318) 000-0000.

Contact Information

Primary practice address
2751 Albert Bicknell Drive Ste 3C Shreveport LA 71103-3943
Phone: (318) 000-0000
Fax: (318) 000-0000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 020492 Louisiana

Profile Details

NPI number 1972598548
LBN Legal business name Lynn, Melissa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Dec 26th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972598548 NPPES
Texas Other 107235703 TEXAS MEDICAID
Texas MEDICAID 1967327 TEXAS MEDICAID
Texas Other 720702002LY TEXAS MEDICAID
Texas Other A011 TEXAS MEDICAID
Texas Other 130022957 TEXAS MEDICAID

Popular Providers