MEDICARE: DR. LAWRENCE A LYNN DO

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	174400000X	Specialist	34003056	OH

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	:	1861486276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE A LYNN DO

Provider Business Mailing Address
First Line	:	1251 DUBLIN ROAD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215
Country	:	US
Telephone Number	:	614-297-7704
Fax Number	:	614-297-7705

Provider Business Practice Location Address
First Line	:	1215 DUBLIN ROAD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215
Country	:	US
Telephone Number	:	614-297-7704
Fax Number	:	614-297-7705

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	08/10/2015

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Directions to “ DR. LAWRENCE A LYNN DO” Practice Location

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