Provider Demographics
NPI:1568417475
Name:SCHWAB, LYNN E (LAC)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:E
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 FOX RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-8752
Mailing Address - Country:US
Mailing Address - Phone:303-582-1954
Mailing Address - Fax:
Practice Address - Street 1:6073 W 44TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4752
Practice Address - Country:US
Practice Address - Phone:303-456-1660
Practice Address - Fax:303-456-1660
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO351171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist