Individual
DR. EDWARD PATRICK LYNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 COOKTOWN RD, #8, RUSTON, LA 71270-2199
(775) 354-8271
(775) 354-8271
Mailing address
1508 COOKTOWN ROAD, #8, RUSTON, LA 71270-1749
(775) 354-8271
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
301995
LA
2084P0804X
Child & Adolescent Psychiatry Physician
MD-044679-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509087
—
NV
Enumeration date
06/18/2006
Last updated
08/17/2023
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