Individual
DR. MARY LYNN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2973 WOODSIDE RD, WOODSIDE, CA 94062-2443
(650) 851-0565
(650) 851-0520
Mailing address
600A FRAZIER DR STE 120, FRANKLIN, TN 37067-4670
(615) 224-8387
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
G-076828
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G768280
—
CA
Enumeration date
11/01/2006
Last updated
09/11/2025
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