Healthcare Provider Details

I. General information

NPI: 1508110719
Provider Name (Legal Business Name): LYNN DEE SILVER MD, MPH,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2012
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 12TH ST FL 10
OAKLAND CA
94607
US

IV. Provider business mailing address

555 12TH ST FL 10
OAKLAND CA
94607-4046
US

V. Phone/Fax

Practice location:
  • Phone: 917-974-7065
  • Fax:
Mailing address:
  • Phone: 917-974-7065
  • Fax: 707-565-7849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC55153
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: