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Individual

LYNN KATHLEEN BICKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0047069
MD
207NS0135X
Procedural Dermatology Physician
D0047069
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
475648
MAMSI PLANS
MD
01
K859TA
BLUE SHIELD
MD
01
P000031306
MC RAILROAD
MD
01
W0170002
BLUE SHIELD
MD
Enumeration date
10/13/2005
Last updated
10/26/2015
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