Provider Demographics
NPI:1497876627
Name:GALEN, LYNN H (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:H
Last Name:GALEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4323
Mailing Address - Country:US
Mailing Address - Phone:617-389-8668
Mailing Address - Fax:
Practice Address - Street 1:96 GARLAND ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-5067
Practice Address - Country:US
Practice Address - Phone:617-389-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53139207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology