Individual
MRS. LYNELLE E PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1501 CHESTER BLVD, REID URGENT CARE, RICHMOND, IN 47374-1914
(765) 935-1905
(765) 935-1910
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-1905
(765) 935-1910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000637A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000843806
ANTHEM
IN
05
—
200373290
—
IN
Enumeration date
05/17/2006
Last updated
05/19/2021
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