Individual
NANCY C LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
C133315
CA
2080P0203X
Pediatric Critical Care Medicine Physician
M2693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178176701
—
TX
Enumeration date
07/13/2006
Last updated
11/12/2020
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