NPI Code Details Logo

NPI 1679507131

NPI 1679507131 : LYNNE M WHYTE M.D. : RENO, NV

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679507131
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LYNNE M WHYTE M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/10/2006
-----------------------------------------------------
    Last Update Date     |    03/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10581 DOUBLE R BLVD 
-----------------------------------------------------
    City                 |    RENO
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89521-8909
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    775-982-5437
-----------------------------------------------------
    Fax                  |    775-982-6021
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 9017 
-----------------------------------------------------
    City                 |    WALNUT CREEK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94598-0917
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-952-2828
-----------------------------------------------------
    Fax                  |    925-952-2850
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208000000X
-----------------------------------------------------
    Taxonomy Name        |    Pediatrics Physician
-----------------------------------------------------
    License Number       |    26379
-----------------------------------------------------
    License Number State |    NV
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.