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Individual
DR. LYNN E GLENN
Active
Individual
DR. LYNN E GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PHD
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000341
GA
363LF0000X
Family Nurse Practitioner
121
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121
LICENSE NUMBER
SC
01
—
GAA-NP000341
GA NP LICENSE NUMBER
GA
Enumeration date
07/13/2006
Last updated
09/03/2023
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