Individual
LYNN CATLIN-ENSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39002 RYANS BAY RD, ZUMBRO FALLS, MN 55991-5276
(507) 753-3244
Mailing address
39002 RYANS BAY RD, ZUMBRO FALLS, MN 55991-5276
(507) 753-3244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0449
SD
363A00000X
Physician Assistant
Primary
10319
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634672000
—
MN
Enumeration date
10/12/2006
Last updated
10/01/2010
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