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NPI Code Detail

MEDICARE: LYNN Y ZOIOPOULOS D.O.

MEDICARE:   LYNN Y ZOIOPOULOS  D.O.
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
1207RC0000XCardiovascular Disease Physician036082082IL
2207R00000XInternal Medicine Physician5101008976MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1526200006OTHERILMEDICARE PTAN

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 : 1710952924
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN Y ZOIOPOULOS D.O.
Provider Business Mailing Address
First Line : 43166 LOCHRISEN WAY
Second Line : APT 3308
City : NOVI
State : MI
Zip : 48375-5410
Country : US
Telephone Number : 312-259-2299
Fax Number :
Provider Business Practice Location Address
First Line : 7430 2ND AVE
Second Line : SUITE 210
City : DETROIT
State : MI
Zip : 48202-2739
Country : US
Telephone Number : 313-748-4200
Fax Number : 313-748-4187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 02/04/2016

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Directions to “ LYNN Y ZOIOPOULOS D.O.” Practice Location

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