Individual
KARL LYNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1200 E WOODHURST DR R300, SPRINGFIELD, MO 65804
(417) 877-1300
Mailing address
1820 W WALNUT LAWN ST APT K3, SPRINGFIELD, MO 65807-4676
(417) 848-7241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2105011391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4472753
HMO PPO
MO
Enumeration date
02/25/2018
Last updated
07/21/2022
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