Individual
LYNN ANNETTE STEGALL
Active
Individual
LYNN ANNETTE STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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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