Provider Demographics
NPI:1104984087
Name:SEAVER, LYNN ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:ANN
Last Name:SEAVER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 454, BOX 2612
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09250
Mailing Address - Country:US
Mailing Address - Phone:0987-450-7684
Mailing Address - Fax:
Practice Address - Street 1:US ARMY GARRISON ANSBACH ATTN HEALTH CLINIC
Practice Address - Street 2:UNIT 28614
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09177-8614
Practice Address - Country:US
Practice Address - Phone:0980-283-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13168-040183500000X
MI5302035880183500000X
TX33695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist