Individual
LYNN HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
921 S BALLANCEE, LUSK, WY 82225-0780
(307) 334-4000
(307) 334-0183
Mailing address
720 LINDSAY LN, SUITE 2, CODY, WY 82414-4103
(307) 578-1800
(307) 578-1814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6138A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078846
—
MT
05
—
121109900
—
WY
01
—
312893
BLUE CROSS BLUE SHIELD
WY
01
—
P00162968
RAILROAD MEDICARE
WY
Enumeration date
10/18/2005
Last updated
02/02/2018
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