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Individual

MR. LYNN M CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7483 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 207-7220
(520) 207-7109
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(805) 788-0845

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11003
WI
225100000X
Physical Therapist
1772
MN
225100000X
Physical Therapist
Primary
LPT000704
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295850378
AZ
05
1295850378
WI
Enumeration date
03/20/2007
Last updated
08/01/2023
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