Individual
MRS. LYNN J KUGLER-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 W MORSE BLVD, WINTER PARK, FL 32789-3731
(407) 629-8121
(407) 629-7250
Mailing address
701 W MORSE BLVD, WINTER PARK, FL 32789-3731
(407) 629-8121
(407) 629-7250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9100866
PA LICENSE NUMBER
FL
Enumeration date
07/02/2006
Last updated
07/08/2007
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