Provider Demographics
NPI:1285960302
Name:LYNFIELD, RUTH (MD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:LYNFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:625 ROBERT ST N
Mailing Address - Street 2:PO BOX 64975
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55155-2538
Mailing Address - Country:US
Mailing Address - Phone:651-201-5414
Mailing Address - Fax:651-201-5743
Practice Address - Street 1:625 ROBERT ST N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55155-2538
Practice Address - Country:US
Practice Address - Phone:651-201-5414
Practice Address - Fax:651-201-5743
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN403122080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases