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Individual

LYNN M. GRIMES

Active
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Individual

LYNN M. GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ANP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
605418
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155108701
TX
01
500028685
RR MEDICARE
TX
01
8N3330
BCBS
TX
Enumeration date
10/11/2006
Last updated
10/29/2010
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