Provider Demographics
NPI:1134269723
Name:WESTPHAL, LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:WESTPHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S DESPLAINES ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4756 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1330
Practice Address - Country:US
Practice Address - Phone:650-445-4724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDRH.0066417207VE0102X
ARE-15059207VE0102X
NC2022-00107207VE0102X
OH35.143879207VE0102X
FLME150714207VE0102X
DCMD210001754207VE0102X
GA87569207VE0102X
MDD93277207VE0102X
IL036.159203207VE0102X
NJ25MA11140100207VE0102X
NY298059207VE0102X
MO2022008450207VE0102X
MIEMC0001591207VE0102X
MN70760207VE0102X
CAG63611207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology