Provider Demographics
NPI:1730206137
Name:ZIMMERMAN, LYNN M (BS)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:M
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:M
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:PO BOX 2055
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58402-2055
Mailing Address - Country:US
Mailing Address - Phone:701-253-6406
Mailing Address - Fax:701-253-6400
Practice Address - Street 1:520 3RD ST NW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-2968
Practice Address - Country:US
Practice Address - Phone:701-253-6406
Practice Address - Fax:701-253-6400
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator