Provider Demographics
NPI:1134332216
Name:LYNN, DEBORAH ELIZABETH
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:LYNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ELIZABETH
Other - Last Name:LYNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:10850 WILSHIRE BLVD STE 1150
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4330
Mailing Address - Country:US
Mailing Address - Phone:310-470-0889
Mailing Address - Fax:310-470-7110
Practice Address - Street 1:10850 WILSHIRE BLVD STE 1150
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4330
Practice Address - Country:US
Practice Address - Phone:310-470-0889
Practice Address - Fax:310-470-7110
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG820032084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry