Provider Demographics
NPI:1598814014
Name:SCHROEDER, LYNN ELLEN (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ELLEN
Last Name:SCHROEDER
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 1:500 PARNASSUS AVE
Mailing Address - Street 2:ROOM MU-H005
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0722
Mailing Address - Country:US
Mailing Address - Phone:415-476-8744
Mailing Address - Fax:415-476-6137
Practice Address - Street 1:500 PARNASSUS AVE
Practice Address - Street 2:ROOM MU-H005
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0722
Practice Address - Country:US
Practice Address - Phone:415-476-8744
Practice Address - Fax:415-476-6137
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG054532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry