Provider Demographics
NPI:1780249359
Name:LYNOTT, JOSEPH JOHN (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:LYNOTT
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 WILMINGTON DR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6103
Mailing Address - Country:US
Mailing Address - Phone:970-416-9009
Mailing Address - Fax:970-416-9010
Practice Address - Street 1:1927 WILMINGTON DR UNIT 102
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-6103
Practice Address - Country:US
Practice Address - Phone:970-416-9009
Practice Address - Fax:970-416-9010
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH59.000787213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1780249359Medicaid