Provider Demographics
NPI:1740213834
Name:PHAIR, LYNN E A (DC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:E A
Last Name:PHAIR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-1323
Mailing Address - Country:US
Mailing Address - Phone:609-387-8947
Mailing Address - Fax:
Practice Address - Street 1:120 E CAMDEN AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1625
Practice Address - Country:US
Practice Address - Phone:856-778-8996
Practice Address - Fax:856-778-5705
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00246800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor