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Individual

LYNN ANNETTE STEGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6286 BRIARCREST AVE, SUITE 200, MEMPHIS, TN 38120-4023
(901) 259-1600
(901) 259-2785
Mailing address
PO BOX 8888, BELFAST, ME 04915-8888
(901) 259-4260
(901) 259-2785

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
462
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110318002
AR
05
3371161
TN
05
3662313
TN
01
4087060
BCBS
TN
01
4113352
BCBS
TN
01
620819926
BCBS
MS
01
620819926
AETNA
TN
05
7187860
MS
01
P00152990
RAILROAD MEDICARE
TN
Enumeration date
05/24/2005
Last updated
04/29/2010
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