Provider Demographics
NPI:1598913824
Name:THOMAS, LYNN MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:MARIE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-5002
Mailing Address - Country:US
Mailing Address - Phone:913-651-2027
Mailing Address - Fax:913-651-2008
Practice Address - Street 1:2900 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5002
Practice Address - Country:US
Practice Address - Phone:913-651-2027
Practice Address - Fax:913-651-2008
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442508183500000X
LA019637183500000X
KS1-16225183500000X
TX53024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist