Provider Demographics
NPI:1639303183
Name:HEMME, LYNN JOHN II (IDMT)
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:JOHN
Last Name:HEMME
Suffix:II
Gender:M
Credentials:IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MEDICAL GROUP
Mailing Address - Street 2:AVIANO AIR BASE
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09604-0245
Mailing Address - Country:US
Mailing Address - Phone:00139334-285-1978
Mailing Address - Fax:
Practice Address - Street 1:31 MEDICAL GROUP
Practice Address - Street 2:AVIANO AIR BASE
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09604-0245
Practice Address - Country:US
Practice Address - Phone:00139334-285-1978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians