Provider Demographics
NPI:1093551996
Name:ACHENBACH, LYNN
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:ACHENBACH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 E GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-2502
Mailing Address - Country:US
Mailing Address - Phone:317-534-7634
Mailing Address - Fax:
Practice Address - Street 1:290 E GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-2502
Practice Address - Country:US
Practice Address - Phone:317-534-7634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care