Provider Demographics
NPI:1811931025
Name:CARVEL, LYNN T (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:T
Last Name:CARVEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6539 COTTINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-3200
Mailing Address - Country:US
Mailing Address - Phone:901-681-0980
Mailing Address - Fax:662-893-8824
Practice Address - Street 1:9085 SANDIDGE CENTER COVE
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654
Practice Address - Country:US
Practice Address - Phone:662-893-7000
Practice Address - Fax:662-893-8824
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117899Medicaid
MS00117899Medicaid
MSG59479Medicare UPIN