Provider Demographics
NPI:1760676373
Name:LYNN E. HOWELL MD, PC
Entity Type:Organization
Organization Name:LYNN E. HOWELL MD, PC
Other - Org Name:NORTH OAKLAND VEIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-333-7971
Mailing Address - Street 1:44555 WOODWARD AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5031
Mailing Address - Country:US
Mailing Address - Phone:248-333-7971
Mailing Address - Fax:248-858-3942
Practice Address - Street 1:44555 WOODWARD AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5031
Practice Address - Country:US
Practice Address - Phone:248-333-7971
Practice Address - Fax:248-858-3942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301023379174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP12880Medicare PIN
MIB43830Medicare UPIN