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Individual
DR. LYNN M RANDALL
Active
Individual
DR. LYNN M RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3764012
WI
111N00000X
Chiropractor
Primary
A06225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12828
DEAN HEALTH PLAN
WI
05
—
38932000
—
WI
Enumeration date
08/31/2006
Last updated
11/18/2021
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