MEDICARE: DR. LYNN M. STRUTHERS MD

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	17018	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770562266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN M. STRUTHERS MD

Provider Business Mailing Address
First Line	:	2202 N. FORBES BLVD.
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745
Country	:	US
Telephone Number	:	520-760-8972
Fax Number	:	520-760-3417

Provider Business Practice Location Address
First Line	:	8826 E TANQUE VERDE RD.
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749
Country	:	US
Telephone Number	:	520-760-8972
Fax Number	:	520-760-3417

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/13/2011

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