MEDICARE: LYNN HO MD INC

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	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	709003652	OTHER		MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1639170772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNN HO MD INC

Provider Business Mailing Address
First Line	:	320 PHILLIPS ST
Second Line	:	STE 102
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5149
Country	:	US
Telephone Number	:	401-667-2537
Fax Number	:	401-667-2538

Provider Business Practice Location Address
First Line	:	320 PHILLIPS ST
Second Line	:	STE 102
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5149
Country	:	US
Telephone Number	:	401-667-2537
Fax Number	:	401-667-2538

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LYNN HO
Credential	:	M.D.
Telephone Number	:	401-667-2537

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	11/29/2013

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Directions to “LYNN HO MD INC ” Practice Location

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