Individual
LYNNE M MUMAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 242-8300
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
200250107NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000594
—
OR
Enumeration date
06/17/2006
Last updated
06/29/2010
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