Healthcare Provider Details

I. General information

NPI: 1811613409
Provider Name (Legal Business Name): DR. LYNN A SALZBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10232 ROSSER RD
DALLAS TX
75229-6143
US

IV. Provider business mailing address

10232 ROSSER RD
DALLAS TX
75229-6143
US

V. Phone/Fax

Practice location:
  • Phone: 214-766-7924
  • Fax:
Mailing address:
  • Phone: 214-766-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberJ6714
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: