Provider Demographics
NPI:1467411900
Name:LYNN, AMY ANN ADAS (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ANN ADAS
Last Name:LYNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:ANN
Other - Last Name:ADAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:271 CAREW ST DEPT OF PATHOLOGY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2377
Mailing Address - Country:US
Mailing Address - Phone:413-748-9573
Mailing Address - Fax:413-452-6072
Practice Address - Street 1:271 CAREW ST DEPT OF PATHOLOGY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:413-748-9573
Practice Address - Fax:413-452-6072
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT68842207ZP0101X
MI4301070990207ZP0101X
OH35080134207ZP0101X
MA289786207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4369152Medicaid
OH2305624Medicaid
MI4369152Medicaid
OH2305624Medicaid