Provider Demographics
NPI:1184669921
Name:KLIMO, LYNN M (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:KLIMO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 E. DIISTRICT STREET
Mailing Address - Street 2:CRISIS RESOPNSE CENTER, SOUTH CAMPUS
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85714
Mailing Address - Country:US
Mailing Address - Phone:520-622-6000
Mailing Address - Fax:
Practice Address - Street 1:2802 E. DIISTRICT STREET
Practice Address - Street 2:CRISIS RESOPNSE CENTER, SOUTH CAMPUS
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714
Practice Address - Country:US
Practice Address - Phone:520-622-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350810132084P0800X
AZ446932084P0800X
NY2627612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2518431Medicaid
OHKL7323101Medicare ID - Type Unspecified
OH2518431Medicaid