MEDICARE: LYNNE MAINE OTR/L

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	225X00000X	Occupational Therapist	100793	MN

General Provider Information

NPI Number	:	1790228443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE MAINE OTR/L

Provider Business Mailing Address
First Line	:	309 W 1ST ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1611
Country	:	US
Telephone Number	:	218-624-4828
Fax Number	:	218-624-4479

Provider Business Practice Location Address
First Line	:	309 W 1ST ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1611
Country	:	US
Telephone Number	:	218-624-4828
Fax Number	:	218-624-4479

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

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	12/12/2025

Similar Medicare Providers

1861729816 — DR. MARK STEVEN GRIMSLEY MD
Practice Location Address:

1611 SATELLITE BLVD STE 3
DULUTH, GA
30097

Practice Phone: 770-614-6266
Practice Fax:

1134783368 — MR. MESIAH O'MAR PORTER JR.
Practice Location Address:

1611 SATELLITE BLVD STE 3
DULUTH, GA
30097-4913

Practice Phone: 770-614-6266
Practice Fax: 770-623-9949

1689539983 — ROSALEA BOTKA
Practice Location Address:

222 W SUPERIOR ST
DULUTH, MN
55802-1938

Practice Phone: 715-661-3619
Practice Fax:

1841049483 — ANDREW R SPARROW MSW, LGSW
Practice Location Address:

205 W 2ND ST
DULUTH, MN
55802-1928

Practice Phone: 651-243-0691
Practice Fax:

1235091802 — EMILY MAY ELISABETH WARD
Practice Location Address:

222 W SUPERIOR ST
DULUTH, MN
55802-1938

Practice Phone: 218-606-1100
Practice Fax: 218-520-1799

1083577530 — LAURA GRANGER MSED
Practice Location Address:

404 W SUPERIOR ST STE 210
DULUTH, MN
55802-1569

Practice Phone: 218-606-1100
Practice Fax:

Directions to “ LYNNE MAINE OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.