Provider Demographics
NPI:1053442756
Name:VAN METRE, LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:VAN METRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4560 SHERMAN OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3010
Mailing Address - Country:US
Mailing Address - Phone:818-380-6830
Mailing Address - Fax:818-783-5828
Practice Address - Street 1:4560 SHERMAN OAKS AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3010
Practice Address - Country:US
Practice Address - Phone:818-380-6830
Practice Address - Fax:818-783-5828
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor