Provider Demographics
NPI:1851482350
Name:MCAFEE, LYNN M (DPM)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:M
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5621
Mailing Address - Country:US
Mailing Address - Phone:207-743-8000
Mailing Address - Fax:207-743-0804
Practice Address - Street 1:19 GREEN ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5621
Practice Address - Country:US
Practice Address - Phone:207-743-8000
Practice Address - Fax:207-743-0804
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPOD1011213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME024690OtherBLUE CROSS BLUE SHIELD
ME1042280OtherAETNA
MEMCMM6580Medicare ID - Type Unspecified
MEU59959Medicare UPIN