1376978049 NPI number — LYNN ALCORN FRAME RN, PHN

Table of content: LYNN ALCORN FRAME RN, PHN (NPI 1376978049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376978049 NPI number — LYNN ALCORN FRAME RN, PHN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRAME
Provider First Name:
LYNN
Provider Middle Name:
ALCORN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, PHN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376978049
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4401 CLOVER LN
Provider Second Line Business Mailing Address:
UNIT A
Provider Business Mailing Address City Name:
EAGAN
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55122-2437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-649-7930
Provider Business Mailing Address Fax Number:
651-207-6897

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4401 CLOVER LN
Provider Second Line Business Practice Location Address:
UNIT A
Provider Business Practice Location Address City Name:
EAGAN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55122-2437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-649-7930
Provider Business Practice Location Address Fax Number:
651-207-6897
Provider Enumeration Date:
09/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  20195 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WH0200X , with the licence number: R2053725 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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