Individual
DR. LYNETTE I OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3205 AVE ISLA VERDE, GALAXY CONDOMINIUM APT. 802, CAROLINA, PR 00979-4924
(787) 268-7632
(787) 268-7632
Mailing address
3205 AVE ISLA VERDE, GALAXY CONDOMINIUM APT. 802, CAROLINA, PR 00979-4924
(787) 268-7632
(787) 268-7632
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
137613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015199
ME LICENSE
ME
01
—
038377
CT LICENSE
CT
01
—
137613
NEW YORK LICENSE
NY
01
—
6404
LICENCE
PR
Enumeration date
05/17/2006
Last updated
03/07/2023
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