Van Ummersen, Lynn

Van Ummersen, Lynn is an individual health care provider with primary practice located at 765 Image Way , Orange City FL 32763-8399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Van Ummersen, Lynn can be contacted via phone (386) 774-7411.

Contact Information

Primary practice address
765 Image Way Orange City FL 32763-8399
Fax: (386) 774-7412
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 99045 Florida

Profile Details

NPI number 1447211818
LBN Legal business name Van Ummersen, Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 30th, 2023 - about last year

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 1447211818 NPPES
Florida MEDICAID 000924400

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