Individual
LYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 LOW CT FL 2, FAIRFIELD, CA 94534-9778
(707) 432-2700
Mailing address
207 FIESTA WAY, VACAVILLE, CA 95688-9562
(702) 481-0938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95051347
CA
163W00000X
Registered Nurse
RN52158
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
95000272
CA
Other
Enumeration date
12/03/2013
Last updated
09/28/2023
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