Provider Demographics
NPI:1538361670
Name:FREIBURGER-EPSTEIN, LYNNE A (DO)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:A
Last Name:FREIBURGER-EPSTEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LYNNE
Other - Middle Name:A
Other - Last Name:FREIBURGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:157 SOUTH PARK AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:CT
Mailing Address - Zip Code:06612-2060
Mailing Address - Country:US
Mailing Address - Phone:203-373-0144
Mailing Address - Fax:203-373-6815
Practice Address - Street 1:157 SOUTH PARK AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:CT
Practice Address - Zip Code:06612-2060
Practice Address - Country:US
Practice Address - Phone:203-373-0144
Practice Address - Fax:203-373-6815
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000187208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice