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Individual
LYNN S. BICKLEY
Active
Individual
LYNN S. BICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83839
PRESBYTERIAN COMMERCIAL
NM
05
—
83839
—
NM
01
—
83987Z
HMO BLUE
TX
01
—
88172G
BLUE CROSS/BLUE SHIELD
TX
01
—
A318
TRIWEST
TX
05
—
Z4284
—
NM
Enumeration date
10/11/2005
Last updated
07/09/2007
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