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Individual

JERRY W LIN

Active
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Individual

JERRY W LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
50410
KY
207Y00000X
Otolaryngology Physician
N0925
TX
207YX0901X
Otology & Neurotology Physician
0101253457
VA
207YX0901X
Otology & Neurotology Physician
N0925
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214396801
TX
05
7100478670
KY
Enumeration date
04/10/2007
Last updated
05/07/2024
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