Provider Demographics
NPI:1437304508
Name:LYNN, SHARI (MED)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:LYNN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 WILI PA LOOP
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1280
Mailing Address - Country:US
Mailing Address - Phone:808-249-2121
Mailing Address - Fax:808-242-8920
Practice Address - Street 1:1787 WILI PA LOOP
Practice Address - Street 2:SUITE 7
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1280
Practice Address - Country:US
Practice Address - Phone:808-249-2121
Practice Address - Fax:808-242-8920
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health