Provider Demographics
NPI:1235011495
Name:LYNN, JAMES P
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:LYNN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 MONUMENT BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4477
Mailing Address - Country:US
Mailing Address - Phone:925-595-0324
Mailing Address - Fax:
Practice Address - Street 1:1251 MONUMENT BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4477
Practice Address - Country:US
Practice Address - Phone:925-595-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor