Provider Demographics
NPI:1679688238
Name:CHIU-COLLINS, LYNN L (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:L
Last Name:CHIU-COLLINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:SUITE 1140
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1401
Mailing Address - Country:US
Mailing Address - Phone:415-702-3000
Mailing Address - Fax:415-702-3015
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:SUITE 1140
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1401
Practice Address - Country:US
Practice Address - Phone:415-702-3000
Practice Address - Fax:415-702-3015
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAML20008202207Y00000X
CAA116002207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology