Provider Demographics
NPI:1699944835
Name:LYNN HEALTH SCIENCE INSTITUTE, INC.
Entity type:Organization
Organization Name:LYNN HEALTH SCIENCE INSTITUTE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-602-3919
Mailing Address - Street 1:3555 NW 58TH ST
Mailing Address - Street 2:STE. 800
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4707
Mailing Address - Country:US
Mailing Address - Phone:405-602-3939
Mailing Address - Fax:405-548-0442
Practice Address - Street 1:1625 MEDICAL CENTER PT
Practice Address - Street 2:STE 260
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8731
Practice Address - Country:US
Practice Address - Phone:719-636-3784
Practice Address - Fax:405-630-3211
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYNN HEALTH SCIENCE INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-21
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84358548Medicaid
CO4163870002Medicare NSC