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Individual
LYNN J. GOODLOE
Active
Individual
LYNN J. GOODLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
G44674
CA
207YX0602X
Otolaryngic Allergy Physician
G44674
CA
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
G44674
CA
208D00000X
General Practice Physician
Primary
G44674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G446740
—
CA
Enumeration date
01/08/2007
Last updated
06/16/2015
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