MEDICARE: SARAH BRIGID LYNN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30.027542	OH
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1104671346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BRIGID LYNN

Provider Business Mailing Address
First Line	:	9601 CHESTER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1666
Country	:	US
Telephone Number	:	216-368-3102
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 CHESTER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1666
Country	:	US
Telephone Number	:	216-368-3102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	05/27/2026

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Directions to “ SARAH BRIGID LYNN ” Practice Location

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