Individual
WILLIAM A. LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PARKWAY, RICHMOND, IN 47374
(765) 983-3000
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 983-3048
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01041206
IN
2085R0202X
Diagnostic Radiology Physician
ME93515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200854360A
—
IN
05
—
275361800
—
FL
01
—
53033
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/02/2006
Last updated
03/15/2022
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