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1619362415

NPI Code Detail

MEDICARE: SHARON JANE LIN MD

MEDICARE: SHARON JANE LIN MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Y00000X	Otolaryngology Physician	72624-20	WI
3	207Y00000X	Otolaryngology Physician	DR.0069546	CO

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	:	1619362415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON JANE LIN MD

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-4123
Fax Number	:	970-624-2416

Provider Business Practice Location Address
First Line	:	595 CHAPEL HILLS DR STE 240
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1056
Country	:	US
Telephone Number	:	719-364-4120
Fax Number	:	719-364-4121

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

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	11/09/2022

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Directions to “ SHARON JANE LIN MD” Practice Location

Language	Start Address	Practice Location

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