Provider Demographics
NPI:1538252218
Name:THOMPSON, LYNN M (FNP-C)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23823
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40523-3823
Mailing Address - Country:US
Mailing Address - Phone:859-278-8772
Mailing Address - Fax:859-422-4361
Practice Address - Street 1:125 E MAXWELL ST STE 300
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-2678
Practice Address - Country:US
Practice Address - Phone:859-278-8772
Practice Address - Fax:859-422-4361
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2498363LF0000X
KY5213P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily