Individual
DR. LYNN MARIE CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1551 PROFESSIONAL LN UNIT 150, LONGMONT, CO 80501-6908
(720) 388-7760
(720) 405-4228
Mailing address
5318 5TH ST UNIT A, BOULDER, CO 80304-4818
(720) 388-7760
(720) 405-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097300
MI
207R00000X
Internal Medicine Physician
DR.0059129
CO
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0059129
CO
207RI0011X
Interventional Cardiology Physician
DR.0059129
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000150154
—
CO
Enumeration date
07/12/2010
Last updated
02/15/2023
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