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Individual
LYNN G GRYLLS
Active
Individual
LYNN G GRYLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
07382
OH
367A00000X
Advanced Practice Midwife
Primary
NM-07382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324462
ANTHEM
OH
01
—
05225
PARAMOUNT
OH
05
—
2461330
—
OH
01
—
344428256
BEECH STREET
CA
01
—
344428256
HEALTHNET
OH
01
—
344428256086
CARESOURCE
—
05
—
4596910
—
MI
Enumeration date
07/13/2005
Last updated
02/11/2016
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