Lynnell P Gardner MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

18444 Issued in AZ

Legal business name

LYNNELL P GARDNER MD PC

Practice address

6761 E Tanque Verde Rd
Suite 6
Tucson, AZ 85715-5323

Phone

(520) 298-2313

Fax

(520) 298-1554

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Lynnell P Gardner, MD

Title

Owner President

Phone

(520) 298-2313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316071822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333100",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6761 E TANQUE VERDE RD",
            "address_2": "SUITE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155323",
            "telephone_number": "520-298-2313",
            "fax_number": "520-298-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNELL P GARDNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LYNNELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "520-298-2313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "18444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce H Lynn, MD
• Mary Kathleen Lynn, OTR
• Monika Lilo Lynn, AGNP-C
• Nancy K Lynn, M.D.
• Susie Lynn, RN
• Cherie A. Lyon, NP
• Chad Pershing Lyons, D.D.S.
• Zara Lyons, FNP
• Robert Lystrup, MD
• Morgan William Lyttle, M.D.

• Medical Specialty Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.