Doctor Name: | LYNN G. HOWARD |
NPI Number: | 1184624397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN CNP |
License Number: | CNP81025 |
Business Practice Address: | 100 Foden Road, West Suite 100 South Portland, ME - 04106 |
Business Phone Number: | 2075233904 |
Business Fax Number: | 2075238588 |
Mailing Address: | 100 Gannett Drive, Suite C SOUTH PORTLAND |
State: | ME |
Postal Code: | 041065900 |
Phone Number: | 2078280361 |
Fax Number: | 2078741483 |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP81025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |