Individual
SANDRA LYNN LYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 JOHN ST, SUITE N-1200, KALAMAZOO, MI 49007-5341
(269) 341-7979
(269) 341-6261
Mailing address
601 JOHN ST, SUITE N-1200, KALAMAZOO, MI 49007-5341
(269) 341-6261
(269) 341-6261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704159305
MI
367A00000X
Advanced Practice Midwife
Primary
4704159305
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013089820
BCBSM - BWS
MI
05
—
1164543617
—
MI
Enumeration date
04/03/2007
Last updated
05/19/2014
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