MEDICARE: DR. LYNN M CARPENTER AUD, FAAA

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	237600000X	Audiologist-Hearing Aid Fitter	A 01009	OH
2	231H00000X	Audiologist	A 01009	OH

General Provider Information

NPI Number	:	1396962478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN M CARPENTER AUD, FAAA

Provider Business Mailing Address
First Line	:	7901 SCHATZ POINTE DR STE E
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3824
Country	:	US
Telephone Number	:	937-435-5033
Fax Number	:	937-435-5512

Provider Business Practice Location Address
First Line	:	7901 SCHATZ POINTE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3824
Country	:	US
Telephone Number	:	937-435-5033
Fax Number	:	937-435-5512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	01/24/2020

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