Provider Demographics
NPI:1851167688
Name:BARLOW, LYNN MICHELLE
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MICHELLE
Last Name:BARLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 WOODMONT DR W
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-3219
Mailing Address - Country:US
Mailing Address - Phone:734-776-1805
Mailing Address - Fax:
Practice Address - Street 1:1970 WOODMONT DR W
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-3219
Practice Address - Country:US
Practice Address - Phone:734-776-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide