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Individual

MRS. LYNN MARIE STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4801 WELDON SPRING PKWY # 300, WELDON SPRING, MO 63304-9101
(636) 949-5760
Mailing address
4801 WELDON SPRING PKWY # 300, WELDON SPRING, MO 63304-9101
(636) 949-5760

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017017205
MO
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
125321
MO

Other

Enumeration date
01/16/2007
Last updated
11/09/2022
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