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Individual
LYNNE HAYNES-TUCKER
Active
Individual
LYNNE HAYNES-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G55360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G553600
—
CA
Enumeration date
12/18/2006
Last updated
01/05/2012
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