Provider Demographics
NPI:1578594453
Name:SWEET, LYNN CURTIS (DO)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:CURTIS
Last Name:SWEET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12020 S WARNER-ELLIOT LOOP
Mailing Address - Street 2:STE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044
Mailing Address - Country:US
Mailing Address - Phone:480-496-9400
Mailing Address - Fax:480-496-9949
Practice Address - Street 1:12020 S WARNER-ELLIOT LOOP
Practice Address - Street 2:STE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044
Practice Address - Country:US
Practice Address - Phone:480-496-9400
Practice Address - Fax:480-496-9949
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3246207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ399940Medicaid
G58584Medicare UPIN