Provider Demographics
NPI:1922385756
Name:FRANK, LYNN H (RPH)
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:H
Last Name:FRANK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6576
Mailing Address - Country:US
Mailing Address - Phone:630-357-0676
Mailing Address - Fax:630-357-9804
Practice Address - Street 1:400 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6576
Practice Address - Country:US
Practice Address - Phone:630-357-0676
Practice Address - Fax:630-357-9804
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-029165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist