Provider Demographics
NPI:1316151897
Name:LYNN, DAVID C (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:LYNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N TERRACE ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-2906
Mailing Address - Country:US
Mailing Address - Phone:608-756-7277
Mailing Address - Fax:608-373-3115
Practice Address - Street 1:510 N TERRACE ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2906
Practice Address - Country:US
Practice Address - Phone:608-756-7277
Practice Address - Fax:608-373-3115
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2014-01169208600000X
WI64031-20208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery