MEDICARE: LYNETTE DILANCHYAN OD

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

General Provider Information

NPI Number	:	1740136621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNETTE DILANCHYAN OD

Provider Business Mailing Address
First Line	:	9531 AMORET DR
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-3101
Country	:	US
Telephone Number	:	818-808-9194
Fax Number	:

Provider Business Practice Location Address
First Line	:	16111 PLUMMER ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-2036
Country	:	US
Telephone Number	:	818-891-7711
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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