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NPI Code Detail

MEDICARE: LYNN M KLIMO M.D.

MEDICARE: LYNN M KLIMO M.D.
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
12084P0800XPsychiatry Physician262761NY
22084P0800XPsychiatry Physician35081013OH
32084P0800XPsychiatry Physician44693AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184669921
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN M KLIMO M.D.
Provider Business Mailing Address
First Line : 4435 E CHANDLER BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7651
Country : US
Telephone Number : 833-351-8255
Fax Number : 888-815-3583
Provider Business Practice Location Address
First Line : 4435 E CHANDLER BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7651
Country : US
Telephone Number : 833-351-8255
Fax Number : 888-815-3583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 04/02/2026

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