Provider Demographics
NPI:1053425280
Name:MESSNER, LYNNE MARGARET (MD)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:MARGARET
Last Name:MESSNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2366
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1086
Mailing Address - Country:US
Mailing Address - Phone:760-773-9750
Mailing Address - Fax:760-773-9294
Practice Address - Street 1:72780 COUNTRY CLUB DR
Practice Address - Street 2:SUITE 100
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4126
Practice Address - Country:US
Practice Address - Phone:760-773-9750
Practice Address - Fax:760-773-9294
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-03-07
Deactivation Date:2020-10-06
Deactivation Code:
Reactivation Date:2021-02-23
Provider Licenses
StateLicense IDTaxonomies
CAA82805207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82805OtherCALIFORNIA LICENSE NUMBER
CAA82805OtherCALIFORNIA LICENSE NUMBER
CAA82805OtherCALIFORNIA LICENSE NUMBER