LISA M FLYNN MD NPI 1629070271

NPI Information

NPI: 1629070271
Provider Name: LISA M FLYNN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
4160 JOHN R
SUITE 615
DETROIT, MI
ZIP 48201
Phone: (313) 745-4195
Get Directions

Lisa M Flynn, MD is a vascular surgery surgery in Detroit, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Lisa M Flynn, MD NPI is 1629070271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4160 JOHN R
SUITE 615
DETROIT, MI
ZIP 48201-020
Phone: (313) 745-4195
Fax: (313) 993-8669

The enumeration date for this NPI number is 8/12/2005 and was last updated on 12/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		4301061622	MICHIGAN	No
2	2086S0129X	Surgery	Vascular Surgery	4301061622	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G91044	MEDICARE UPIN
2	OH 26358-021	MEDICARE ID-TYPE UNSPECIFIED
3	0P30630776	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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