Individual
JULIE J LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5300
(601) 579-5303
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5300
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16305
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120432
—
MS
01
—
1559124
AMERICAN ADMIN GROUP
MS
05
—
1582271
—
LA
Enumeration date
08/19/2006
Last updated
07/14/2020
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