MEDICARE: DR. LYNN SIMON 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	2084P0800X	Psychiatry Physician	013348	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	184276	OTHER	LA	MALPRACTICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811927486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN SIMON MD

Provider Business Mailing Address
First Line	:	PO BOX 66504
Second Line	:	EAST BATON ROUGE PARISH
City	:	BATON ROUGE
State	:	LA
Zip	:	70896-6504
Country	:	US
Telephone Number	:	225-215-5024
Fax Number	:	225-926-1619

Provider Business Practice Location Address
First Line	:	861 MAIN ST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70802-5529
Country	:	US
Telephone Number	:	225-383-3013
Fax Number	:	225-383-0030

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	03/07/2023

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