DR. LYNN S TELFORD, MD - NPI NUMBER 1871600973

Summary

Provider Name: DR. LYNN S TELFORD, MD

NPI Number: 1871600973

Clasification: Family Medicine (207Q00000X)

Address:
10400 W NORTH AVE
WAUWATOSA, WI
ZIP 53226

Phone Number: (414) 479-2300



Detailed Information

DR. Lynn S Telford, MD is a family physician in Wauwatosa, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1871600973 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

10400 W NORTH AVE
WAUWATOSA, WI
ZIP 53226
Phone: (414) 479-2300
Fax: (414) 479-2350

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/9/2007.

Map - Location of Practice

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Taxonomy Codes

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 207Q00000X Family Medicine 39166 WI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 G99307 MEDICARE UPIN
2 32596500 MEDICAID WI
3 BT5730331 OTHER DEA NUMBER

NPI Record

No. Field Name Field Value
1 NPI 1871600973
2 Entity Type Code 1
3 Provider Last Name Legal Name TELFORD
4 Provider First Name LYNN
5 Provider Middle Name S
6 Provider Name Prefix Text DR.
7 Provider Credential Text MD
8 Provider First Line Business Practice Location Address 10400 W NORTH AVE
9 Provider Business Practice Location Address City Name WAUWATOSA
10 Provider Business Practice Location Address State Name WI
11 Provider Business Practice Location Address Postal Code 53226
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4144792300
14 Provider Business Practice Location Address Fax Number 4144792350
15 Provider Enumeration Date 8/24/2006
16 Last Update Date 7/9/2007
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 207Q00000X
19 Provider License Number 1 39166
20 Provider License Number State Code 1 WI
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 G99307
23 Other Provider Identifier Type Code 1 02
24 Other Provider Identifier 2 32596500
25 Other Provider Identifier Type Code 2 05
26 Other Provider Identifier State 2 WI
27 Other Provider Identifier 3 BT5730331
28 Other Provider Identifier Type Code 3 01
29 Other Provider Identifier Issuer 3 DEA NUMBER
30 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.