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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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