Provider Demographics
NPI:1033231949
Name:ALLEE, LYN MAXWELL (DMD, MED)
Entity Type:Individual
Prefix:DR
First Name:LYN
Middle Name:MAXWELL
Last Name:ALLEE
Suffix:
Gender:F
Credentials:DMD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24600 DETROIT RD STE 235
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2542
Mailing Address - Country:US
Mailing Address - Phone:440-899-2199
Mailing Address - Fax:
Practice Address - Street 1:24600 DETROIT RD STE 235
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2542
Practice Address - Country:US
Practice Address - Phone:440-899-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry