Provider Demographics
NPI:1659364172
Name:AYE, LYN SWE (MD)
Entity Type:Individual
Prefix:DR
First Name:LYN
Middle Name:SWE
Last Name:AYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12120 MONT VISTA DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-6052
Mailing Address - Country:US
Mailing Address - Phone:530-888-6781
Mailing Address - Fax:
Practice Address - Street 1:12120 MONT VISTA DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-6052
Practice Address - Country:US
Practice Address - Phone:530-888-6781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33962207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0028370Medicaid
CAGR0028370Medicaid
CAE73328Medicare UPIN