Lynn Cameron Zollin, MFA, CSA, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

CERT # F01172 Issued in CO

Practice address

1521 Pontiac St
Denver, CO 80220-1827

Phone

(303) 596-2449

Fax

(303) 394-0854

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Fine Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043337736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201827",
            "telephone_number": "303-596-2449",
            "fax_number": "303-394-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201827",
            "telephone_number": "303-596-2449",
            "fax_number": "303-394-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLIN",
        "first_name": "LYNN",
        "middle_name": "CAMERON",
        "name_prefix": "Ms.",
        "credential": "MFA, CSA, SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "CERT # F01172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.