Individual
LORI A LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
48 MEDICAL PARK EAST DR, SUITE 356, BIRMINGHAM, AL 35235
(205) 838-3200
(205) 838-6981
Mailing address
48 MEDICAL PARK EAST DR, SUITE 356, BIRMINGHAM, AL 35235
(205) 838-3200
(205) 838-6981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO795
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009972355
—
AL
05
—
051556109
—
AL
01
—
1538173281
GROUP NPI
AL
01
—
51528670
BCBS
AL
01
—
CK7413
RR MEDICARE GROUP ID
AL
01
—
J210
GROUP MEDICARE
AL
01
—
P00167784
RR MCR
—
01
—
P00274219
NEW RR MEDICARE PTAN 5/9/08
AL
Enumeration date
07/28/2006
Last updated
05/09/2008
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