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Individual

MRS. LYNN T COY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(317) 802-3139
Mailing address
2449 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 802-3139
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02002134
IN
207P00000X
Emergency Medicine Physician
Primary
02002134A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200255720
IN
Enumeration date
08/24/2006
Last updated
02/04/2021
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