Individual
LYNDELLE MARIE EGYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
601 E CHICAGO RD, WHITE PIGEON, MI 49099-9731
(269) 483-7624
(269) 483-7905
Mailing address
701 S HEALTH PKWY, MEDICAL STAFF OFFICE, THREE RIVERS, MI 49093-8352
(269) 273-9789
(269) 273-9611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002567
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3070626-11
—
MI
01
—
700G560080
BCBS GROUP-THREE RIVERS HEALTH
MI
Enumeration date
02/23/2006
Last updated
04/08/2014
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