Lynx Medical Services Organization

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

LYNX MEDICAL SERVICES ORGANIZATION

Practice address

3066 E Meridian Park Loop
Wasilla, AK 99654-7299

Phone

(907) 357-2005

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Daniel J Crane

Title

Chief Operating Officer

Phone

(800) 909-5866

Specialties & licenses 1

Addresses

Other names 1

• Alaska Vein Care Doing business as

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1073872669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061829",
            "telephone_number": "800-909-5866",
            "fax_number": "801-665-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547299",
            "telephone_number": "907-357-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNX MEDICAL SERVICES ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "800-909-5866"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Vein Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan F Lundy, PSYD
• Molly Lee Lunsford, CNM, WHNP-BC, RN
• Lupine Dental LLC
• Luxottica Retail North America Inc
• Luxury Assisted Living LLC
• Lynx Medical Services Organization
• Rebecca Lyrenmann, CCC-SLP
• Alli Lythgoe, BA, CDC1
• Thomas A. Lytle, LPC
• M Paige DDS & JM Bressler DDS at Wasilla LLC

• Phlebology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Phlebology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.