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NPI Code Detail

MEDICARE: LYNN C THOMAS M.D.

MEDICARE: LYNN C THOMAS 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 PhysicianE-1039AR

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 : 1497701692
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN C THOMAS M.D.
Provider Business Mailing Address
First Line : PO BOX 7357
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72217-7357
Country : US
Telephone Number : 501-771-4121
Fax Number : 501-771-1363
Provider Business Practice Location Address
First Line : 1601 MURPHY DR
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-6187
Country : US
Telephone Number : 501-771-4121
Fax Number : 501-771-1363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/02/2024

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