Provider Demographics
NPI:1366580177
Name:POWERS, LYNN MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:MARIE
Last Name:POWERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 SYCAMORE CREEK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-2300
Mailing Address - Country:US
Mailing Address - Phone:937-748-3069
Mailing Address - Fax:937-748-3576
Practice Address - Street 1:5 SYCAMORE CREEK DR
Practice Address - Street 2:SUITE B
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-2300
Practice Address - Country:US
Practice Address - Phone:937-748-3069
Practice Address - Fax:937-748-3576
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8847207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology