# LYNN M. COPPOLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609849017
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 26547 | AZ | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 12/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 160049893 | RR MEDICARE | AZ |
| 05 | — | 169682 | — | AZ |