Provider Demographics
NPI:1851337596
Name:LYND, HOWARD W (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:W
Last Name:LYND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2550 WINDY HILL RD SE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8665
Mailing Address - Country:US
Mailing Address - Phone:770-850-8464
Mailing Address - Fax:770-783-8026
Practice Address - Street 1:286 US HIGHWAY 23 N
Practice Address - Street 2:SUITE 102
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-8732
Practice Address - Country:US
Practice Address - Phone:606-874-0032
Practice Address - Fax:606-874-0064
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2016-03-08
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Provider Licenses
StateLicense IDTaxonomies
KY33635208VP0000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64023070Medicaid
KYK132050OtherMEDICARE
KY1854401Medicare ID - Type Unspecified