Provider Demographics
NPI:1558317388
Name:ASHLEY, LYNN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ELIZABETH
Last Name:ASHLEY
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 1:1746 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-2334
Mailing Address - Country:US
Mailing Address - Phone:701-237-5896
Mailing Address - Fax:
Practice Address - Street 1:3318 N 14TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1614
Practice Address - Country:US
Practice Address - Phone:701-323-8300
Practice Address - Fax:701-323-8305
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND8005207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine