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Individual

WILLIAM STUART LYNNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.P.

Contact information

Practice address
18 N FORT THOMAS AVE, FORT THOMAS, KY 41075-3098
(859) 816-4279
Mailing address
1643 N FORT THOMAS AVE, FORT THOMAS, KY 41075-1118
(859) 816-4279

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY-0023
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
05/19/2006
Last updated
03/17/2010
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