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Individual
LYNN REILLY
Active
Individual
LYNN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152867
CA STATE LICENSE
CA
05
—
8397812
—
WA
01
—
P00319570
RAILROAD MEDICARE
WA
Enumeration date
12/06/2005
Last updated
04/07/2021
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