Provider Demographics
NPI:1710169982
Name:LYNN E. YONGE, M.D., P.C.
Entity Type:Organization
Organization Name:LYNN E. YONGE, M.D., P.C.
Other - Org Name:BAY MEDICAL FAMILY PRACTICE, P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:E
Authorized Official - Last Name:YONGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-990-8860
Mailing Address - Street 1:405 N SECTION ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2613
Mailing Address - Country:US
Mailing Address - Phone:251-990-8860
Mailing Address - Fax:251-990-3401
Practice Address - Street 1:405 N SECTION ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2613
Practice Address - Country:US
Practice Address - Phone:251-990-8860
Practice Address - Fax:251-990-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty