MEDICARE: DR. LYNN LAPOINTE SWAN 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	4301049539	MI

General Provider Information

NPI Number	:	1972680411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN LAPOINTE SWAN M.D.

Provider Business Mailing Address
First Line	:	3155 LOGAN VALLEY RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4772
Country	:	US
Telephone Number	:	231-935-0810
Fax Number	:	231-935-0962

Provider Business Practice Location Address
First Line	:	3147 LOGAN VALLEY RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4772
Country	:	US
Telephone Number	:	231-935-0810
Fax Number	:	231-935-0962

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	03/12/2015

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