Provider Demographics
NPI:1669586483
Name:MIGDAL, LYNN ANN (DC)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANN
Last Name:MIGDAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 S FEDERAL HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5027
Mailing Address - Country:US
Mailing Address - Phone:561-278-2224
Mailing Address - Fax:561-278-2399
Practice Address - Street 1:1060 S FEDERAL HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5027
Practice Address - Country:US
Practice Address - Phone:561-278-2224
Practice Address - Fax:561-278-2399
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3817733Medicaid
T55959Medicare UPIN
FL3817733Medicaid