Provider Demographics
NPI:1164642575
Name:LYNN MAURCEE GROUP, INC.
Entity Type:Organization
Organization Name:LYNN MAURCEE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-763-6131
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46161-0446
Mailing Address - Country:US
Mailing Address - Phone:765-763-6131
Mailing Address - Fax:877-777-3363
Practice Address - Street 1:8764 N. MORRISTOWN RD.
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:IN
Practice Address - Zip Code:46161-0446
Practice Address - Country:US
Practice Address - Phone:765-763-6131
Practice Address - Fax:877-777-3363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty