Individual
JO LYNNE HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00013828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-12103
BC BS OF AL
AL
Enumeration date
10/02/2006
Last updated
04/11/2025
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