Provider Demographics
NPI:1528273166
Name:SCHUETZ, LYNN T (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:T
Last Name:SCHUETZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1139
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1139
Mailing Address - Country:US
Mailing Address - Phone:661-371-2796
Mailing Address - Fax:661-438-1746
Practice Address - Street 1:11612 BOLTHOUSE DR STE 110
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8497
Practice Address - Country:US
Practice Address - Phone:661-654-8338
Practice Address - Fax:661-654-8383
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 112894207Q00000X
IN01065566A207Q00000X
CAC199960207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGC521V - TAMPAMedicare PIN
FLGC521W - UCCMedicare PIN