MEDICARE: LYNN HEALTH SCIENCE INSTITUTE

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
1	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1275701005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNN HEALTH SCIENCE INSTITUTE

Provider Business Mailing Address
First Line	:	3555 NW 58TH ST
Second Line	:	STE 800
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4707
Country	:	US
Telephone Number	:	405-602-3939
Fax Number	:	405-602-3945

Provider Business Practice Location Address
First Line	:	2500 N CIRCLE DR
Second Line	:	STE. 300
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1184
Country	:	US
Telephone Number	:	719-636-3784
Fax Number	:	719-630-3211

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. FRANKLIN K WILLIS
Credential	:
Telephone Number	:	405-602-3919

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	05/21/2008

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Directions to “LYNN HEALTH SCIENCE INSTITUTE ” Practice Location

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