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Individual
MONICA ANN LYNN
Active
Individual
MONICA ANN LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA003045L
PA
363A00000X
Physician Assistant
Primary
OA004809
PA
363AM0700X
Medical Physician Assistant
MA003045L
PA
363AM0700X
Medical Physician Assistant
OA004809
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031852240002
—
PA
01
—
2K4034
MEDICARE
PA
Enumeration date
08/01/2006
Last updated
11/02/2022
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