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Individual

LYNDA JEAN MASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
807 TANNAHILL DR SE, HUNTSVILLE, AL 35802-1935
(661) 917-9136
Mailing address
PO BOX 4993, HUNTSVILLE, AL 35815-4993
(661) 917-9136

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-151950
AL

Other

Enumeration date
06/15/2020
Last updated
07/09/2020
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