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1568573319 NPI number — BRIAN P. LYNN DPM

NPI Number: 1568573319
Health Care Provider/Practitioner: BRIAN P. LYNN DPM

Information about “1568573319” NPI (BRIAN P. LYNN DPM) exists in 1568573319 in HTML format HTML  |  1568573319 in plain Text format TXT  |  1568573319 in PDF (Portable Document Format) PDF  |  1568573319 in an XML format XML  formats.

NPI Number : 1568573319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568573319",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYNN",
    "FirstName": "BRIAN",
    "MiddleName": "P.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "935 NORTHERN BLVD",
    "SecondLineMailingAddress": "SUITE 107",
    "MailingAddressCityName": "GREAT NECK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11021-5309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-627-5775",
    "MailingAddressFaxNumber": "516-627-6259",
    "FirstLinePracticeLocationAddress": "935 NORTHERN BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 107",
    "PracticeLocationAddressCityName": "GREAT NECK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11021-5309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-627-5775",
    "PracticeLocationAddressFaxNumber": "516-627-6259",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "02/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213E00000X",
        "TaxonomyName": "Podiatrist",
        "LicenseNumber": "N005264-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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