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Individual
DR. LYNN A D ANDREA
Active
Individual
DR. LYNN A D ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
29421
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029906261H
HUMANA
—
05
—
1073565982
—
WI
Enumeration date
05/17/2006
Last updated
10/04/2013
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