Provider Demographics
NPI:1538548920
Name:TOEDTLI, LYNNE (RPH)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:TOEDTLI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 CONEFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-6785
Mailing Address - Country:US
Mailing Address - Phone:303-909-6651
Mailing Address - Fax:
Practice Address - Street 1:8941 HARLAN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2931
Practice Address - Country:US
Practice Address - Phone:303-993-8604
Practice Address - Fax:844-311-3590
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist