Provider Demographics
NPI:1740362425
Name:CURTIS, LYNN ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ALAN
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 SW WESTPORT PLAZA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2542
Mailing Address - Country:US
Mailing Address - Phone:785-273-0770
Mailing Address - Fax:785-273-0778
Practice Address - Street 1:2813 SW WESTPORT PLAZA DR STE 105
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2542
Practice Address - Country:US
Practice Address - Phone:785-273-0770
Practice Address - Fax:785-273-0778
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21671261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSC66067Medicare UPIN