Provider Demographics
NPI:1871090233
Name:ALLEN, LYNN MARIE (DC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CEDAR ST APT H-201
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-9529
Mailing Address - Country:US
Mailing Address - Phone:515-421-8822
Mailing Address - Fax:
Practice Address - Street 1:7986 S ORILLA RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:IA
Practice Address - Zip Code:50061-5807
Practice Address - Country:US
Practice Address - Phone:515-421-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA093952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor