Provider Demographics
NPI:1003039678
Name:DOLAN, LYNN E (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:E
Last Name:DOLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:E
Other - Last Name:SCHMIDT-DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:BOX 860001
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-6000
Mailing Address - Country:US
Mailing Address - Phone:877-304-6332
Mailing Address - Fax:615-778-9114
Practice Address - Street 1:13950 W CAPITOL DRIVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2441
Practice Address - Country:US
Practice Address - Phone:615-778-4066
Practice Address - Fax:414-302-5404
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIWI 403192083X0100X
WI403192083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine