Individual
LYNN COPPAGE
Active
Individual
LYNN COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME73460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46326
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/30/2006
Last updated
01/28/2008
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