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LYNNE ANNE MARCUM KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-8600
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8600

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
F6823
TX
208D00000X
General Practice Physician
F6823
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118857503
TX
Enumeration date
03/18/2006
Last updated
05/14/2019
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