Soe, Lyndon

Soe, Lyndon is an individual health care provider with primary practice located at 4901 34Th St S , St Petersburg FL 33711-4511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Soe, Lyndon can be contacted via phone (727) 866-9945.

Contact Information

Primary practice address
4901 34Th St S St Petersburg FL 33711-4511
Phone: (727) 866-9945
Fax: (727) 866-9870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7709 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS07709 Florida

Profile Details

NPI number 1245204270
LBN Legal business name Soe, Lyndon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245204270 NPPES
Florida MEDICAID 260060900

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