Provider Demographics
NPI:1679726475
Name:WEST, LYNN SCOTLAND (LAC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:SCOTLAND
Last Name:WEST
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6441
Mailing Address - Country:US
Mailing Address - Phone:760-978-7376
Mailing Address - Fax:760-754-9378
Practice Address - Street 1:608 VISTA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6441
Practice Address - Country:US
Practice Address - Phone:760-978-7376
Practice Address - Fax:760-754-9378
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA0077700208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice