Provider Demographics
NPI:1912924895
Name:TOAZ, LYNN A (DO)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:A
Last Name:TOAZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:550 E WASHINGTON ST
Mailing Address - Street 2:STE 205
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-2202
Mailing Address - Country:US
Mailing Address - Phone:616-527-8293
Mailing Address - Fax:616-527-5718
Practice Address - Street 1:550 E WASHINGTON ST
Practice Address - Street 2:STE 205
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-2202
Practice Address - Country:US
Practice Address - Phone:616-527-8293
Practice Address - Fax:616-527-5718
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MILT011641207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI200000000923OtherPHPMM
MI1016884OtherMCLAREN
MI4425046OtherMOLINA
MI4425046OtherMOLINA