Provider Demographics
NPI:1770028995
Name:MCPHEARSON, LYNN (DOM, AP)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:MCPHEARSON
Suffix:
Gender:M
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 E FLETCHER AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4789
Mailing Address - Country:US
Mailing Address - Phone:813-656-8600
Mailing Address - Fax:813-656-8606
Practice Address - Street 1:3500 E FLETCHER AVE STE 121
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4789
Practice Address - Country:US
Practice Address - Phone:813-656-8600
Practice Address - Fax:813-656-8606
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-23
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3795171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist