Healthcare Provider Details

I. General information

NPI: 1679507131
Provider Name (Legal Business Name): LYNNE M WHYTE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10581 DOUBLE R BLVD
RENO NV
89521-8909
US

IV. Provider business mailing address

PO BOX 9017
WALNUT CREEK CA
94598-0917
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5437
  • Fax: 775-982-6021
Mailing address:
  • Phone: 925-952-2828
  • Fax: 925-952-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number26379
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: