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Individual
JACOB RYAN LYNN
Active
Individual
JACOB RYAN LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010017
MI
363AM0700X
Medical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
PA.200096
LA
363AS0400X
Surgical Physician Assistant
PA60030903
WA
363AS0400X
Surgical Physician Assistant
TPA0012
MS
Other
Enumeration date
01/16/2007
Last updated
10/31/2024
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