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NPI Code Detail

MEDICARE: DR. RICHARD M LYNN M.D.

MEDICARE: DR. RICHARD M LYNN 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
12085R0204XVascular & Interventional Radiology PhysicianMD0000017701TN
22085R0202XDiagnostic Radiology PhysicianMD0000017701TN

General Provider Information

NPI Number : 1962483461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD M LYNN M.D.
Provider Business Mailing Address
First Line : 601 DODDS AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-3911
Country : US
Telephone Number : 423-629-9783
Fax Number : 423-698-3622
Provider Business Practice Location Address
First Line : 2525 DESALES AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-1161
Country : US
Telephone Number : 423-495-4430
Fax Number : 423-495-6179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 12/28/2009

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