Individual
LYNN HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 BLAIRS FERRY RD NE STE 110, CEDAR RAPIDS, IA 52402-1262
(319) 378-8077
Mailing address
921 BLAIRS FERRY RD NE STE 110, CEDAR RAPIDS, IA 52402-1262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
87890
IA
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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