Organization
JACKSON FAMILY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LAVERNE LYND D.O. (OWNER/PHYSICIAN)
(517) 784-3100
Entity
Organization
Contact information
Practice address
724 W FRANKLIN ST, JACKSON, MI 49201-2008
(517) 784-3100
(517) 784-3200
Mailing address
724 W FRANKLIN ST, JACKSON, MI 49201-2008
(517) 784-3100
(517) 784-3200
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
07/19/2012
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