Individual
LYNN R SAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9300 STONESTREET RD, SUITE 200, LOUISVILLE, KY 40272-2863
(502) 935-8061
(502) 933-7010
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5064
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA289
KY
363AM0700X
Medical Physician Assistant
PA289
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100112800
—
KY
01
—
K095990
MEDICARE PTAN - NLSC-RCO
KY
Enumeration date
05/01/2007
Last updated
10/14/2016
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