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Individual

BECKY KAUFMAN LYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1031 BELLEVUE AVE, SUITE 400, SAINT LOUIS, MO 63117-1818
(314) 977-7455
(314) 977-7477
Mailing address
6420 CLAYTON RD, SUITE 290, SAINT LOUIS, MO 63117-1811
(314) 781-1031
(314) 781-2840

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2003009736
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179880
BLUE CROSS BLUE SHIELD
05
208401208
MO
01
2139540
FIRST HEALTH
01
440546366
HUMANA
01
5483481
CCN
01
611601
HEALTHLINK
01
P00039844
RR MEDICARE
Enumeration date
04/19/2006
Last updated
08/31/2015
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