Provider Demographics
NPI:1861493090
Name:HO, LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 PHILLIPS ST
Mailing Address - Street 2:STE 102
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5149
Mailing Address - Country:US
Mailing Address - Phone:401-667-2537
Mailing Address - Fax:401-667-2538
Practice Address - Street 1:320 PHILLIPS ST
Practice Address - Street 2:STE 102
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5149
Practice Address - Country:US
Practice Address - Phone:401-667-2537
Practice Address - Fax:401-667-2538
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9003652Medicaid
F13071Medicare UPIN
007056768Medicare PIN