Individual
LYNN WHITNEY TYRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1051 STATE ROAD 229, BATESVILLE, IN 47006-6809
(812) 932-5105
Mailing address
PO BOX 226, BATESVILLE, IN 47006-0226
(812) 932-5105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000838A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011478
—
IN
Enumeration date
11/20/2006
Last updated
04/22/2019
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