Active NPI
Melissa L Lynn MD Apmc
- Nephrology Physician
- Shreveport, LA
National Provider Identifier
1295123644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 020492
- Legal business name
- MELISSA L LYNN MD APMC
- Practice address
- 2751 Albert L Bicknell Dr
Suite 3C
Shreveport, LA 71103-3920 - Phone
- (318) 424-5449
- NPI assigned
- Jan 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa L Lynn, MD
- Title
- Owner
- Phone
- (318) 347-9014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 020492 | LA | Primary |
Addresses
Primary practice location
2751 Albert L Bicknell Dr
Suite 3C
Shreveport, LA 71103-3920
Mailing address
2751 Albert L Bicknell Dr
Suite 3C
Shreveport, LA 71103-3920
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420588800000",
"number": "1295123644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 ALBERT L BICKNELL DR",
"address_2": "SUITE 3C",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 ALBERT L BICKNELL DR",
"address_2": "SUITE 3C",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033920",
"telephone_number": "318-424-5449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA L LYNN MD APMC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-347-9014",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "020492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.