Provider Demographics
NPI:1790032647
Name:ZHANG, LYNN (OD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NORTH AVE E
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2113
Mailing Address - Country:US
Mailing Address - Phone:908-276-1332
Mailing Address - Fax:908-276-1252
Practice Address - Street 1:32 NORTH AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2113
Practice Address - Country:US
Practice Address - Phone:908-276-1332
Practice Address - Fax:908-276-1252
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00642400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist