MEDICARE: DR. LYNN HO M.D.

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	207Q00000X	Family Medicine Physician	MD07628	RI

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	:	1861493090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN HO M.D.

Provider Business Mailing Address
First Line	:	320 PHILLIPS ST
Second Line	:	STE 102
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5149
Country	:	US
Telephone Number	:	401-667-2537
Fax Number	:	401-667-2538

Provider Business Practice Location Address
First Line	:	320 PHILLIPS ST
Second Line	:	STE 102
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5149
Country	:	US
Telephone Number	:	401-667-2537
Fax Number	:	401-667-2538

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/19/2013

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