MEDICARE: LYNN A KOHLMEIER 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	M-15009	ID
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD00038025	WA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528026820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN A KOHLMEIER M.D.

Provider Business Mailing Address
First Line	:	6506 S DEVONSHIRE CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6230
Country	:	US
Telephone Number	:	509-998-1045
Fax Number	:

Provider Business Practice Location Address
First Line	:	6506 S DEVONSHIRE CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6230
Country	:	US
Telephone Number	:	509-998-1045
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	02/24/2020

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