Provider Demographics
NPI:1174816748
Name:SPRINGFIELD, LYNN (ATP)
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:
Last Name:SPRINGFIELD
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 COUNTY ROAD 389
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76530-5310
Mailing Address - Country:US
Mailing Address - Phone:512-859-2513
Mailing Address - Fax:
Practice Address - Street 1:6807 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6146
Practice Address - Country:US
Practice Address - Phone:254-399-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other