Mccullough, Lynne B
Mccullough, Lynne B is an individual health care provider with primary practice located at 757 Westwood Plz Rm 14 19, Los Angeles CA 90095-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Mccullough, Lynne B can be contacted via phone (310) 825-2111.Contact Information
Primary practice address
757 Westwood Plz Rm 14 19
Los Angeles CA 90095-0001
Phone: (310) 825-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A60079 | California |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | A60079 | California |
Profile Details
| NPI number | 1760416440 |
|---|---|
| LBN Legal business name | Mccullough, Lynne B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jan 13th, 2020 - about 4 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 | 1760416440 | NPPES |
| California | MEDICAID | 00A600790 |
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