Healthcare Provider Details
I. General information
NPI: 1134269723
Provider Name (Legal Business Name): LYNN WESTPHAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2007
Last Update Date: 05/23/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4756 EL CAMINO REAL
LOS ALTOS CA
94022-1330
US
IV. Provider business mailing address
333 S DESPLAINES ST STE 201
CHICAGO IL
60661-5514
US
V. Phone/Fax
- Phone: 650-445-4724
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | CDRH.0066417 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | E-15059 |
| License Number State | AR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 2022-00107 |
| License Number State | NC |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 35.143879 |
| License Number State | OH |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | ME150714 |
| License Number State | FL |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | MD210001754 |
| License Number State | DC |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 87569 |
| License Number State | GA |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | D93277 |
| License Number State | MD |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 036.159203 |
| License Number State | IL |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 25MA11140100 |
| License Number State | NJ |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 298059 |
| License Number State | NY |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 2022008450 |
| License Number State | MO |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | EMC0001591 |
| License Number State | MI |
| # 14 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 70760 |
| License Number State | MN |
| # 15 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | G63611 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
