Individual
LYNDA L MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2375 E. PRATER WAY, SPARKS, NV 89434-9641
(775) 352-5301
(775) 352-5303
Mailing address
2345 E PRATER WAY STE 207, SPARKS, NV 89434-9634
(775) 352-5301
(775) 352-5303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10516
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063499440
NPI
—
01
—
11059445
CAQH
—
Enumeration date
12/28/2005
Last updated
12/04/2020
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