Provider Demographics
NPI:1821134388
Name:LYNN, KARON B (AUD)
Entity Type:Individual
Prefix:DR
First Name:KARON
Middle Name:B
Last Name:LYNN
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:2700 S WOODLANDS VILLAGE BLVD
Mailing Address - Street 2:SUITE 300-409
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-7114
Mailing Address - Country:US
Mailing Address - Phone:928-522-0500
Mailing Address - Fax:855-433-1122
Practice Address - Street 1:1330 N RIM DR
Practice Address - Street 2:SUITE B
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3134
Practice Address - Country:US
Practice Address - Phone:928-522-0500
Practice Address - Fax:855-433-1122
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2014-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZDA1156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDA1156OtherAUDIOLOGY LICENSE