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NPI Code Detail

MEDICARE: LYNN A WHITMER MD

MEDICARE: LYNN A WHITMER 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
1207L00000XAnesthesiology Physician105201MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050030936OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649276874
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN A WHITMER MD
Provider Business Mailing Address
First Line : 6420 CLAYTON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-768-8442
Fax Number : 314-768-8918
Provider Business Practice Location Address
First Line : 6420 CLAYTON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-768-8442
Fax Number : 314-768-8918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/02/2012

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Directions to “ LYNN A WHITMER MD” Practice Location

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