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Provider Information for 1568546976

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LYNN CAROL SAYRE-CARSTAIRS D.M.D.

Gender: FEMALE

Individual NPI: 1568546976

Calendar   Last Updated:  2015-08-26
  Certification Date: 

Details

Name Value
NPI 1568546976
Enumeration Date 2006-10-24
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 620 CALIFORNIA BLVD STE L
SAN LUIS OBISPO, CA 93401-2545
United States

Phone: 805-545-9400 | Fax: 805-545-8336
View Map External Link
Primary Practice Address 620 CALIFORNIA BLVD STE L
SAN LUIS OBISPO, CA 93401-2545
United States

Phone: 805-545-9400 | Fax: 805-545-8336
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0300X - Dentist Periodontics CA 36458