Provider Demographics
NPI:1275900185
Name:MS. LYNN A .DARR
Entity Type:Organization
Organization Name:MS. LYNN A .DARR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAVEL SONOGRAPHER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DARR
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:216-228-6735
Mailing Address - Street 1:1333 COOK AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-2567
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1333 COOK AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-2567
Practice Address - Country:US
Practice Address - Phone:216-228-6735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17566282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH17566OtherARDMS