Lynne J. Roberts, M.D., P. a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

F8647 Issued in TX

Legal business name

LYNNE J. ROBERTS, M.D., P. A.

Practice address

7502 Greenville Ave
Suite 330
Dallas, TX 75231-3832

Phone

(469) 232-9300

Fax

(469) 232-9850

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lynne J. Roberts, M.D.NPI 1023134756

Title

President

Phone

(469) 232-9300

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynne Jeanine Roberts, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1023134756
  NPD (past) Authorized official

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1104004357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVE",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313832",
            "telephone_number": "469-232-9300",
            "fax_number": "469-232-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVE",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313832",
            "telephone_number": "469-232-9300",
            "fax_number": "469-232-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE J. ROBERTS, M.D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-232-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F8647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4111259",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "415509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00F78B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C21126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Wade Lynn, M.D.
• Megan Cari Lynn, PSM, RDN, LD
• Melodie Minter Lynn, D.O.
• Octavia Lynn
• Preston Lynn
• Kimberly Ann Lyon, PA-C
• Nathalie Sol Lyon, AGACNP
• Robert T Lyon, M.D.
• Amber Stark Lyons, CRNA
• Andrea Lies Lyons

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.