Individual
DR. JENNIFER LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7440 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 367-5620
(520) 367-5955
Mailing address
5055 E. BROADWAY BLVD, A-100, TUCSON, AZ 85711
(520) 327-0460
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279534
—
AZ
01
—
Z163700
MEDICARE PTAN
AZ
Enumeration date
01/15/2007
Last updated
06/13/2019
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