=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437228103
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LYNN MARIE HOWLAND OD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2006
-----------------------------------------------------
Last Update Date | 12/11/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3343 CENTER GROVE DR STE D CLOCK TOWER WEST
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52003-5264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-588-2093
-----------------------------------------------------
Fax | 563-588-0590
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3343 CENTER GROVE DR STE D
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52003-5264
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-588-2093
-----------------------------------------------------
Fax | 563-588-0590
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 02276
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------