Provider Demographics
NPI:1427366491
Name:FOREHAND, LYNN M (ICD)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:M
Last Name:FOREHAND
Suffix:
Gender:F
Credentials:ICD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-8131
Mailing Address - Country:US
Mailing Address - Phone:423-442-5465
Mailing Address - Fax:
Practice Address - Street 1:638 RIDGE RD
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-8131
Practice Address - Country:US
Practice Address - Phone:423-442-5465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula