Provider Demographics
NPI:1437228103
Name:HOWLAND, LYNN MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:MARIE
Last Name:HOWLAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LYNN
Other - Middle Name:MARIE
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3343 CENTER GROVE DR STE D
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-5264
Mailing Address - Country:US
Mailing Address - Phone:563-588-2093
Mailing Address - Fax:563-588-0590
Practice Address - Street 1:3343 CENTER GROVE DR STE D
Practice Address - Street 2:CLOCK TOWER WEST
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-5264
Practice Address - Country:US
Practice Address - Phone:563-588-2093
Practice Address - Fax:563-588-0590
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02276152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0475285Medicaid
IA01281OtherBLUE CROSS
IAI16574Medicare PIN
V07572Medicare UPIN