Provider Demographics
NPI:1164483012
Name:TEMPLETON, LYNN A (CNP)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:A
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 COMMUNITY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2357
Mailing Address - Country:US
Mailing Address - Phone:330-361-4510
Mailing Address - Fax:
Practice Address - Street 1:85 COMMUNITY RD
Practice Address - Street 2:SUITE D
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2356
Practice Address - Country:US
Practice Address - Phone:330-633-3817
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-00062363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS53088Medicare UPIN
OHTENP00913Medicare ID - Type Unspecified