Provider Demographics
NPI:1326059106
Name:FOSTER, LYNANNE J (MD)
Entity Type:Individual
Prefix:
First Name:LYNANNE
Middle Name:J
Last Name:FOSTER
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 1:343 PARKVIEW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-7620
Mailing Address - Country:US
Mailing Address - Phone:281-728-0200
Mailing Address - Fax:
Practice Address - Street 1:1917 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3907
Practice Address - Country:US
Practice Address - Phone:832-377-1900
Practice Address - Fax:855-232-9727
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8339207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165290102Medicaid
TX8G9303Medicare PIN