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Individual
MRS. LYNN MARIE STARK
Active
Individual
MRS. LYNN MARIE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017017205
MO
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
125321
MO
Other
Enumeration date
01/16/2007
Last updated
11/09/2022
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