Provider Demographics
NPI:1962455915
Name:SELMAN, LYNNAH KAY (MD)
Entity type:Individual
Prefix:DR
First Name:LYNNAH
Middle Name:KAY
Last Name:SELMAN
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 1:18525 DALLAS LANE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9565
Mailing Address - Country:US
Mailing Address - Phone:501-821-3124
Mailing Address - Fax:501-821-6706
Practice Address - Street 1:18525 DALLAS LANE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-9565
Practice Address - Country:US
Practice Address - Phone:501-821-3124
Practice Address - Fax:501-821-6706
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC41012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR158415001Medicaid
AR54757Medicare ID - Type Unspecified