Provider Demographics
NPI:1437260437
Name:ALLING-JONES, LYNN M (DO)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:ALLING-JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2482 WICKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3269
Mailing Address - Country:US
Mailing Address - Phone:248-682-3300
Mailing Address - Fax:248-682-0026
Practice Address - Street 1:2561 ELIZABETH LAKE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3313
Practice Address - Country:US
Practice Address - Phone:248-682-3300
Practice Address - Fax:248-682-0026
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MILA015112208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4696610Medicaid
MI4696610Medicaid