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NPI Code Detail

MEDICARE: DR. ASHLEY ELIZABETH LYNN DMD MSD

MEDICARE:  DR. ASHLEY ELIZABETH LYNN  DMD MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN18652FL
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry0024692TX
31223X0400XOrthodontics and Dentofacial Orthopedics DentistryDEN.00202397CO

General Provider Information

NPI Number : 1083845929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY ELIZABETH LYNN DMD MSD
Provider Business Mailing Address
First Line : 15198 W HARVARD AVE
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-5531
Country : US
Telephone Number : 352-275-7423
Fax Number :
Provider Business Practice Location Address
First Line : 5392 S WADSWORTH BLVD UNIT 103
Second Line :
City : LAKEWOOD
State : CO
Zip : 80123-1271
Country : US
Telephone Number : 303-979-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2009
Last Update Date : 10/30/2019

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Directions to “ DR. ASHLEY ELIZABETH LYNN DMD MSD” Practice Location

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