Provider Demographics
NPI:1831267657
Name:SKOPEC, LYNN L (MD)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:L
Last Name:SKOPEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LYNN
Other - Middle Name:L
Other - Last Name:BANWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1390
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52244-1390
Mailing Address - Country:US
Mailing Address - Phone:319-337-7284
Mailing Address - Fax:319-337-7284
Practice Address - Street 1:321 E MARKET ST STE 102
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2176
Practice Address - Country:US
Practice Address - Phone:319-337-7284
Practice Address - Fax:319-337-7284
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA28565207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0152843Medicaid
F25696Medicare UPIN
07787Medicare PIN