Provider Demographics
NPI:1720385024
Name:DEER, LYNN (LM)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:DEER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 LEXINGTON GREEN LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1022
Mailing Address - Country:US
Mailing Address - Phone:407-322-9944
Mailing Address - Fax:407-878-5858
Practice Address - Street 1:1110 LEXINGTON GREEN LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1022
Practice Address - Country:US
Practice Address - Phone:407-322-9944
Practice Address - Fax:407-878-5858
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW214176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife