Individual
MORGAN LYNN FEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(855) 691-9890
Mailing address
5818 IROQUOIS LN APT 3B, MISHAWAKA, IN 46545-0932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2022
Last updated
07/25/2022
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